Yama Qaderi, P.A

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

011196 Issued in NY

Practice address

292 Parkside Ave
Miller Place, NY 11764-3521

Phone

(631) 849-5281

NPI assigned

Jul 18, 2008

Last updated

Jan 11, 2011By 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yqaderi1911228@nychhc.direct-ci.com

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.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Partners in Critical Care, LLP

  • Physician Assistant
  • Islip, NY
  • NPI 1053486670
  Medicare reassignment
• Cogent Medical Care PC

  • Internal Medicine Physician
  • East Patchogue, NY
  • NPI 1912941238
  NPD (past)
• Samara Spring Churgin Medical Doctor Professional Corporation

  • Plastic and Reconstructive Surgery Physician
  • Babylon, NY
  • NPI 1063712834
  NPD (past)
• Sharad Soni Physician P.C.

  • Internal Medicine Physician
  • Ozone Park, NY
  • NPI 1457544785
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1558525543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COMMUNITY DR STE 304",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303818",
            "telephone_number": "516-823-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 PARKSIDE AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643521",
            "telephone_number": "631-849-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADERI",
        "first_name": "YAMA",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "011196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Jefferson Medical Wellness PLLC (Messi Medical Wellness)
• Eric Todd Posner, M.D.
• Nicole Pranzo
• Primary Care Family Doctor P.C. (Primary Care Family Doctors)
• Pro Care Imaging, Inc.
• Jaclyn Querido, RD
• Dorothy A Quilty, L.C.S.W
• Daniel R. Raio, RPA-C
• Toni Ellen Raiten-D'Antonio, LCSW
• Wahid Rashidzada, M.D.

• Surgical Physician Assistant in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.