Organization Active NPI

Juan Yamin MD PC

  • Specialist
  • New York, NY
National Provider Identifier
1235400656
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0940891 Issued in NY
Legal business name
JUAN YAMIN MD PC
Practice address
629 W 185TH St
BSMT
New York, NY 10033-3102
Phone
(212) 781-1900
Fax
(646) 417-5959
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mr. Lenin Fermin
Title
Director
Phone
(212) 781-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0940891 NY Primary

Addresses

Primary practice location

629 W 185TH St
BSMT
New York, NY 10033-3102

Mailing address

PO Box 763
New York, NY 10033-0594
Phone (212) 781-1900

National Provider Directory

National Provider Directory

Locations

629 W 185th St
Bsmt
New York, NY 10033
Phone (212) 781-1900

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1235400656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100330594",
            "telephone_number": "212-781-1900",
            "fax_number": "646-417-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W 185TH ST",
            "address_2": "BSMT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333102",
            "telephone_number": "212-781-1900",
            "fax_number": "646-417-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN YAMIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "FERMIN",
        "authorized_official_first_name": "LENIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-781-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "0940891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.