Active NPI
Michelle Robin Yagoda, M.D.
- Facial Plastic Surgery Physician
- New York, NY
National Provider Identifier
1386703338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 182512
- Practice address
- 5 E 83Rd St
New York, NY 10028-0401 - Phone
- (212) 434-1210
- Fax
- (212) 535-8155
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 182512 | NY | Primary |
Addresses
Primary practice location
5 E 83Rd St
New York, NY 10028-0401
Mailing address
5 E 83Rd St
New York, NY 10028-0401
Phone (212) 434-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134038248 | Other | UNITED HEALTHCARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182512 | NY | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1386703338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E 83RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280401",
"telephone_number": "212-434-1210",
"fax_number": "212-535-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 83RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280401",
"telephone_number": "212-434-1210",
"fax_number": "212-535-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGODA",
"first_name": "MICHELLE",
"middle_name": "ROBIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "182512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "134038248",
"state": null
}
],
"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 Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.