Active NPI
Julia Yesher, MD
- Otolaryngology Physician
- Northport, NY
National Provider Identifier
1497950224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 244195
- Practice address
- 79 Middleville Rd
Northport, NY 11768-2296 - Phone
- (631) 261-4400
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 244195 | NY | |
| Otolaryngology Physician | 207Y00000X | 244195 | NY | Primary |
Addresses
Primary practice location
79 Middleville Rd
Northport, NY 11768-2296
Mailing address
20 Fairview Ave
Roslyn, NY 11576-2134
Phone (917) 531-9077
Other practice location 1
800 Poly Pl
Brooklyn, NY 11209-7104
Phone (718) 836-6600
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 N Village Ave
Rockville Centre, NY 11570-3800
Phone 516678030318
Merit-based Incentive Payment System (MIPS)
- Final score
- 55.52 of 100
- Quality
- 73.67
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244195 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southshore Otolaryngology, PC | Otolaryngology | Current | Accepting new patients |
| Advanced Otolaryngology, PC | Otolaryngology | Past | Accepting new patients |
| ENT Diagnostics PLLC | Past | Accepting new patients |
Locations
176 N Village Ave
Ste 1A
Rockville Ctr, NY 11570
Phone (516) 678-0303
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Rockville Centre, NY
- NPI 1225183676
-
- Otolaryngology Physician
- Garden City, NY
- NPI 1134176662
-
- Specialist
- Rockville Centre, NY
- NPI 1659382356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1497950224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 FAIRVIEW AVE",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115762134",
"telephone_number": "917-531-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MIDDLEVILLE RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682296",
"telephone_number": "631-261-4400"
}
],
"practiceLocations": [
{
"address_1": "800 Poly Pl",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112097104",
"country_code": "US",
"telephone_number": "718-836-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YESHER",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "244195",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "244195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.