Individual provider Active NPI

Yeou-Cheng M Ma, M.D.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Bronx, NY
National Provider Identifier
1386863389
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
139102 Issued in NY
Practice address
1410 Pelham Pkwy S
Ste 112
Bronx, NY 10461-1116
Phone
(718) 430-8600
Fax
(718) 896-2296
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 139102 NY Primary

Addresses

Primary practice location

1410 Pelham Pkwy S
Ste 112
Bronx, NY 10461-1116

Mailing address

6503 180TH St
Fresh Meadows, NY 11365-2139
Phone (718) 939-7024

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317000726 NY Practitioner - Pediatric Medicine 5698050490 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
139102NYMDPediatric Neurodevelopmental Disabilities Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 28, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jan 28, 2017 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1410 Pelham Pkwy S
Ste 112
Bronx, NY 10461
Phone (718) 430-8600

1225 Morris Park Ave
Bronx, NY 10461
Phone (718) 430-8500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386863389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 180TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652139",
            "telephone_number": "718-939-7024",
            "fax_number": "718-939-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 PELHAM PKWY S",
            "address_2": "STE 112",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611116",
            "telephone_number": "718-430-8600",
            "fax_number": "718-896-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "YEOU-CHENG",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NY",
            "license": "139102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.