Yvonne Cynthia Newland Pagan, MD

Individual provider Active NPI Otolaryngology Physician · Ferndale, NY

NPI 1215029491 · NPPES record last updated Jul 27, 2010

Key facts

NPI
1215029491
Entity type
Individual (NPI type 1)
Primary specialty
Otolaryngology Physician 207Y00000X
License
160247 (NY)
Practice address
653 Harris Road
Ferndale, NY 12734
Phone
(845) 292-2283
Fax
(845) 292-1466
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Otolaryngology
Education
Icahn School of Medicine at Mount Sinai, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middletown Medical PC (177 clinicians)

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

Hospital & facility affiliations

  • Garnet Health Medical Center Hospital · Middletown, NY · CCN 330126
  • Garnet Health Medical Center Catskills Hospital · Harris, NY · CCN 330386

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100 (group)
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
77.61

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101222000814 NY Practitioner - Otolaryngology 7719952332 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Middletown Medical PC Current
since Jul 1, 2015
Accepting new patients
Middletown Medical PC Current
since Jul 1, 2015
Accepting new patients
Erh Specialty Practice Past Accepting new patients

Locations

111 Maltese Dr
Middletown, NY 10940

Networks

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

Interoperability endpoints

  • Direct secure messaging: yvonne.newlandpagan@mmpc.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 160247 NY Yes

Addresses

Primary practice location

653 Harris Road
Ferndale, NY 12734

Mailing address

653 Harris Road
Ferndale, NY 12734
Phone (845) 292-2283

Other identifiers

IdentifierTypeStateIssuer
01124198MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2010.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1215029491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 HARRIS ROAD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "12734",
            "telephone_number": "845-292-2283",
            "fax_number": "845-292-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 HARRIS ROAD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "12734",
            "telephone_number": "845-292-2283",
            "fax_number": "845-292-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLAND PAGAN",
        "first_name": "YVONNE",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "160247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01124198",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, NY

All providers in Ferndale, NY · Otolaryngology Physician in New York

Sources for this page

Verify at the official NPI Registry.