Individual provider Active NPI

Maryam Yamani, M.D.

  • Ophthalmology Physician
  • Mount Vernon, NY
National Provider Identifier
1235201443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
193260 Issued in NY
Practice address
153 Stevens Ave
Mount Vernon, NY 10550-2543
Phone
(914) 667-3800
Fax
(914) 667-3812
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 193260 NY Primary

Addresses

Primary practice location

153 Stevens Ave
Mount Vernon, NY 10550-2543

Mailing address

153 Stevens Ave
Mount Vernon, NY 10550-2543
Phone (914) 667-3800

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
I20101208000152 NY Practitioner - Ophthalmology 7416144167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond Fong MD, PCGroup PAC ID 5496655292, 5 clinicians
Aristahealth Medical Care PCGroup PAC ID 3375708068, 11 clinicians

Practice addresses (Care Compare)

109 Lafayette St
FL 4
New York, NY 10013-4138
Phone (212) 274-1900

13620 38TH Ave
Suite 6H
Flushing, NY 11354-4263
Phone (718) 762-3790

452 Fort Washington Ave
1St Floor
New York, NY 10033-4600
Phone (866) 996-1616

859 60TH St
Suite CM1B
Brooklyn, NY 11220-4352
Phone (718) 436-8850

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

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

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Raymond Fong MD, PC Ophthalmology CurrentSince Oct 1, 2010 Accepting new patients
Aristahealth Medical Care PC CurrentSince Nov 1, 2022 Accepting new patients
Raymond Fong M.D., P.C. Ophthalmology CurrentSince Oct 1, 2010 Accepting new patients
Total Medical PC CurrentSince Feb 15, 2015 Accepting new patients
Abdollah Yamani MD PC Ophthalmology PastSince Aug 15, 2002 Accepting new patients
Yakov Levy MD PC Past Accepting new patients

Locations

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

13620 38th Ave
Ste 6H
Flushing, NY 11354
Phone (718) 762-3790

13681 Roosevelt Ave
Ste 2
Flushing, NY 11354
Phone (718) 353-4777

133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400

4405 Broadway
New York, NY 10040
Phone (212) 740-2020

109 Lafayette St
Fl 4
New York, NY 10013
Phone (212) 274-1900

Networks

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

Organizations & group practices 6

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235201443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502543",
            "telephone_number": "914-667-3800",
            "fax_number": "914-667-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502543",
            "telephone_number": "914-667-3800",
            "fax_number": "914-667-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANI",
        "first_name": "MARYAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "193260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.