Individual provider Active NPI

Yael Robson-Kushner, M.D.

  • Pediatrics Physician
  • Bayside, NY
National Provider Identifier
1407933161
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
232691 Issued in NY
Practice address
20014 44TH Ave
Bayside, NY 11361-2510
Phone
(718) 224-3000
Fax
(718) 721-7237
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 232691 NY Primary

Addresses

Primary practice location

20014 44TH Ave
Bayside, NY 11361-2510

Mailing address

20014 44TH Ave
Bayside, NY 11361-2510
Phone (718) 224-3000

Other practice location 1

2325 31st St
Astoria, NY 11105-2298
Phone (718) 721-6166

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
I20230505002252 NY Practitioner - Pediatric Medicine 4587029079 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Astoria Pediatric Associates Pediatrics Past Accepting new patients

Locations

2325 31st St
Astoria, NY 11105
Phone (516) 321-8315

20014 44th Ave
Flushing, NY 11361
Phone (718) 224-3000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

3711 23rd Ave
Long Is City, NY 11105
Phone (718) 721-6166

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: yrobsonkushner67857@northwell.direct-ci.com

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1407933161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20014 44TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510",
            "telephone_number": "718-224-3000",
            "fax_number": "718-224-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20014 44TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510",
            "telephone_number": "718-224-3000",
            "fax_number": "718-721-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 31st St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111052298",
            "country_code": "US",
            "telephone_number": "718-721-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBSON-KUSHNER",
        "first_name": "YAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "232691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.