Individual provider Active NPI

Maria Villamia

  • Physician Assistant
  • Yonkers, NY
National Provider Identifier
1437791563
Registry record updated Nov 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
579 Van Cortlandt Park Ave
Yonkers, NY 10705-4248
Phone
(646) 929-7870
NPI assigned
Oct 10, 2019
Last updated
Nov 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

579 Van Cortlandt Park Ave
Yonkers, NY 10705-4248

Mailing address

579 Van Cortlandt Park Ave
Yonkers, NY 10705-4248

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106002803 NY Practitioner - Physician Assistant 2860824158 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 14, 2020 Accepting new patients
New York University CurrentSince Nov 1, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Feb 14, 2020 Accepting new patients
New York University CurrentSince Nov 1, 2019 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

530 1st Ave
Ste 8U
New York, NY 10016
Phone (212) 263-7182

Networks

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

Interoperability endpoints

  • Direct secure messaging: mvillamia@montefioredirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1437791563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 VAN CORTLANDT PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 VAN CORTLANDT PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054248",
            "telephone_number": "646-929-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMIA",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.