Nuttapoom Yoadjarust, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

022262 Issued in NY

Practice address

211 Central Park W Apt 1F
New York, NY 10024-6020

Phone

(212) 686-6321

Fax

(212) 686-6329

NPI assigned

May 31, 2018

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Allergy and Sinus Group, PLLCGroup PAC ID 6305920448, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York Allergy & Sinus Group, PLLC

  • Allergy & Immunology Physician
  • New York, NY
  • NPI 1033274147
  Medicare reassignment Care Compare group
• Midtown Sinus Imaging, PLLC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1801070412
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1447742028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CENTRAL PARK W APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246020",
            "telephone_number": "212-686-6321",
            "fax_number": "212-686-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CENTRAL PARK W APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246020",
            "telephone_number": "212-686-6321",
            "fax_number": "212-686-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOADJARUST",
        "first_name": "NUTTAPOOM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.