Yasmeen a Moody MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

YASMEEN A MOODY MD PC

Practice address

1 First Street
Watkins Glen, NY 14891

Phone

(607) 535-4644

Fax

(607) 535-4744

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yasmeen A Moody, MDNPI 1992704845

Title

Owner

Phone

(607) 535-4644

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasmeen Ahmed Moody, M.D.

  • Plastic Surgery Physician
  • New City, NY
  • NPI 1992704845
  NPD (past) Authorized official
• Daniel S Jorgenson, M.D.

  • Plastic Surgery Physician
  • Ithaca, NY
  • NPI 1093714958
  NPD (past)
• Brenda Lane, NP

  • Family Nurse Practitioner
  • Ithaca, NY
  • NPI 1417910209
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1609827377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "address_2": "202 TAUGHANNOCK BLVD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148510366",
            "telephone_number": "607-277-3257",
            "fax_number": "607-277-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FIRST STREET",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "14891",
            "telephone_number": "607-535-4644",
            "fax_number": "607-535-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASMEEN A MOODY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "YASMEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-535-4644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01487916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Wendela, RPN
• Kerseinya Gretchen Wentworth, LCSWR
• Isaac Edison Wilber, DO
• Christy Williams, PMHNP-BC
• Lindsey Wratten

• Plastic Surgery Physician in Watkins Glen, NY
• Providers in Watkins Glen, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.