Back to Health Medical Care PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26448 Issued in NY

Legal business name

BACK TO HEALTH MEDICAL CARE PC

Practice address

690 Broadway Ste 100
Massapequa, NY 11758-2371

Phone

(516) 308-7540

NPI assigned

Jun 4, 2018

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darron Yelling, DONPI 1770744336

Title

President

Phone

(917) 992-8049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darron Yelling, D.O.

  • Surgery Physician
  • Massapequa, NY
  • NPI 1770744336
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1295227387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 BROADWAY STE 100",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582371",
            "telephone_number": "917-992-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BROADWAY STE 100",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582371",
            "telephone_number": "516-308-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "YELLING",
        "authorized_official_first_name": "DARRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-992-8049",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "26448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.