Clydene C Medas

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

290 Lenox Ave
New York, NY 10027-4991

Phone

(212) 663-3000

NPI assigned

Sep 3, 2026

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1487563581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361228",
            "telephone_number": "347-824-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274991",
            "telephone_number": "212-663-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDAS",
        "first_name": "CLYDENE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonia Medaglia
• Cynthia Ann Medalie, LCSW
• Medalliance Medical Health Services
• Tyron Medallo, PT
• John Medamana, MD
• Meghana Medavaram
• Medblob, Inc
• Medcor Inc.
• Medcore Specialty RX Corp.
• Nia Renee Medder, FNP

• Student in an Organized Health Care Education/Training Program in New York, NY
• Providers in New York, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.