Individual provider Active NPI

Michelle Robin Yagoda, M.D.

  • Facial Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1386703338
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
182512 Issued in NY
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

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
134038248OtherUNITED 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

LicenseStateTypeSpecialty
182512NYMDFacial 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.

Verify at the official NPI Registry.