Caroline Penfield Yavetz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

164377 Issued in NY

Practice address

151 Bridge St
Plattsburgh, NY 12901

Phone

(518) 561-7337

Fax

(518) 561-1335

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Plattsburgh Pediatrics PC

  • Pediatrics Physician
  • Plattsburgh, NY
  • NPI 1962566406
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1427111632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 THIRD AVE 4GW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-860-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BRIDGE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-561-7337",
            "fax_number": "518-561-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVETZ",
        "first_name": "CAROLINE",
        "middle_name": "PENFIELD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "164377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01086837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Louise Wunderlich, N.P.
• Jana Lee Wynnik, OTA
• Ruxing Xing, MD
• Sarah Olivia Yancey, LMHC
• Stanley Yang, MD
• Bonnie Ann Yopp, ANP
• Benjamin James Young, DO
• Nancy E Zahn, F.N.P.C.
• Taher Zandi, PHD
• Richard J Zeppieri, PHARM.D.

• Pediatrics Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.