Active NPI
Yasunari Niimi, MD
- Vascular & Interventional Radiology Physician
- New York, NY
National Provider Identifier
1376524439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 202553
- Practice address
- 1000 10TH Ave
Suite GG15
New York, NY 10019-1147 - Phone
- (212) 636-3215
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 202553 | NY | Primary |
Addresses
Primary practice location
1000 10TH Ave
Suite GG15
New York, NY 10019-1147
Mailing address
1000 10TH Ave
Suite GG15
New York, NY 10019-1147
Phone (212) 636-3215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01807327 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376524439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 10TH AVE",
"address_2": "SUITE GG15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-636-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 10TH AVE",
"address_2": "SUITE GG15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-636-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIIMI",
"first_name": "YASUNARI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "202553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01807327",
"state": "NY"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.