Yardly Pierre-Jerome Shoulton, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

166834 Issued in NY

Practice address

13742 Guy R Brewer Blvd
Jamaica, NY 11434-3732

Phone

(718) 977-1207

Fax

(718) 977-1256

NPI assigned

May 23, 2006

Last updated

Sep 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Cardiology Consultants, PLLCGroup PAC ID 7618912965, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: yardly.pierre.jerome.shoulton.1@31700.direct.athenahealth.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.

• Premier Cardiology Consultants, PLLC

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
  • NPI 1497773394
  Medicare reassignment Care Compare group
• Leonardo N Saulle MD PC

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
  • NPI 1831558436
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1629023023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE E249",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421000",
            "telephone_number": "516-437-5600",
            "fax_number": "516-437-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13742 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343732",
            "telephone_number": "718-977-1207",
            "fax_number": "718-977-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-JEROME SHOULTON",
        "first_name": "YARDLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01839418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andromachi A Picoula, RPA-C, MS
• Joanna Piedrahita
• Jacqueline Louise Pierce, TEACHER MS.ED
• Laury Pierre Lashley, LPN
• Archide Pierre-Banna
• Andress Pierre-Louis, PA, ACPH
• Joel Pierre-Louis, MD
• Marie Rosette Pierre-Louis, MD
• Revanord Pierre-Louis, M.D.
• Alex Pierre, P.T.

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.

Verify at the official NPI Registry.