Individual provider Active NPI

Yolanda A Cestero, MD

  • Dermatology Physician
  • Peekskill, NY
National Provider Identifier
1215024914
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
114255 Issued in NY
Practice address
2 Stowe Rd
Suite 1
Peekskill, NY 10566-2570
Phone
(914) 737-1497
Fax
(914) 000-0000
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 114255 NY Primary

Addresses

Primary practice location

2 Stowe Rd
Suite 1
Peekskill, NY 10566-2570

Mailing address

2 Stowe Rd
Suite 1
Peekskill, NY 10566-2570
Phone (914) 737-1497

Other identifiers 1

IdentifierTypeStateIssuer
002091052MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000601 NY Practitioner - Dermatology 7719166040 Reassigns benefits to 2 organizations
Practice locations: Peekskill, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doral Medical and Multi Specialty Facility LLCGroup PAC ID 9830528645, 53 clinicians

Practice addresses (Care Compare)

1797 Pitkin Ave
Suite 2
Brooklyn, NY 11212-7844
Phone (718) 971-1944

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medex Diagnostic and Treatment Center LLC CurrentSince Feb 13, 2021 Accepting new patients
Doral Medical and Multi Specialty Facility LLC CurrentSince May 12, 2022 Accepting new patients
Doral Pharmacy LLC PastSince May 12, 2022 Accepting new patients

Locations

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: yolanda.cestero@direct.hvhc.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1215024914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STOWE RD",
            "address_2": "SUITE 1",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662570",
            "telephone_number": "914-737-1497",
            "fax_number": "914-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STOWE RD",
            "address_2": "SUITE 1",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662570",
            "telephone_number": "914-737-1497",
            "fax_number": "914-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESTERO",
        "first_name": "YOLANDA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "114255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002091052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.