Individual provider Active NPI

Yalissa Steffany Reynoso, MSED

  • Specialist
  • Bronx, NY
National Provider Identifier
1477422715
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1804 Harrison Ave Apt 1a
Bronx, NY 10453-4531
Phone
(917) 870-2292
NPI assigned
Nov 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1804 Harrison Ave Apt 1a
Bronx, NY 10453-4531

Mailing address

1804 Harrison Ave Apt 1a
Bronx, NY 10453-4531
Phone (917) 870-2292

Other practice location 1

12116 Powells Cove Blvd Apt B
College Point, NY 11356-1297
Phone (646) 741-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1477422715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HARRISON AVE APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534531",
            "telephone_number": "917-870-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HARRISON AVE APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534531",
            "telephone_number": "917-870-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12116 Powells Cove Blvd Apt B",
            "address_purpose": "LOCATION",
            "city": "College Point",
            "state": "NY",
            "postal_code": "113561297",
            "country_code": "US",
            "telephone_number": "646-741-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "YALISSA",
        "middle_name": "STEFFANY",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.