Yanick Moyen, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

007941 Issued in NY

Practice address

55 N Main St
Freeport, NY 11520-2243

Phone

(516) 377-8014

Fax

(516) 888-1530

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: yanick.boursiquot.1@22829.direct.athenahealth.com

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.

• Samaritan Medical Services, P.C.

  • Internal Medicine Physician
  • West Islip, NY
  • NPI 1124184544
  Medicare reassignment
• Lasante Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1740672732
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1245389550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 PRESTON RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544535",
            "telephone_number": "516-710-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N MAIN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202243",
            "telephone_number": "516-377-8014",
            "fax_number": "516-888-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYEN",
        "first_name": "YANICK",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "007941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Esther Morvitz, MS
• Babu Samuel Moses, PT,DSC,ECS,MTC
• Blanca R Mostacero, SOCIAL WORKER
• Narasimhan Motaganahalli, RPH
• Motion Care Physical Therapy
• MRNN Chiropractic & Physical Therapy PLLC
• MRNN Chiropractic P.C.
• Ngozi Ifeyinwa Munachi
• Carrie Brooke Munich, LCSW
• Jennifer Munoz, LCSW

• Medical Physician Assistant in Freeport, NY
• Providers in Freeport, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.