Sean Yetman, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

253413 Issued in MA

Practice address

2511 Ocean Ave Ste 102
Brooklyn, NY 11229-3957

Phone

(718) 504-6044

Fax

(224) 235-4652

NPI assigned

Aug 3, 2006

Last updated

Oct 18, 2018By 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

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

Cardiovascular Disease (Cardiology)

Education

Columbia University College of Physicians and Surgeons, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fordham Medical of New York LLCGroup PAC ID 4284972621, 24 clinicians

St Nicholas Professional Medical Services of New York LLCGroup PAC ID 7618231457, 12 clinicians

Foxhurst Medical of New York LLCGroup PAC ID 6901151778, 21 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 61)

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.

• Fordham Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1205332905
  Medicare reassignment Care Compare group
• Foxhurst Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1730547522
  Medicare reassignment Care Compare group
• St. Nicholas Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1033631064
  Medicare reassignment Care Compare group
• Astoria Medical of New York, LLC

  • Vascular Surgery Physician
  • Astoria, NY
  • NPI 1790156982
  Medicare reassignment NPD
• Bushwick Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1003393299
  Medicare reassignment NPD
• Corona Medical of New York LLC

  • Vascular Surgery Physician
  • Jackson Heights, NY
  • NPI 1437691920
  Medicare reassignment NPD
• Foxhurst Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1366956260
  Medicare reassignment NPD
• Jamaica Queens Medical of New York LLC

  • Vascular Surgery Physician
  • Jamaica, NY
  • NPI 1366962961
  Medicare reassignment NPD
• Mott Haven Professional Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1922525781
  Medicare reassignment NPD
• New York Professional Medical Services LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1639518848
  Medicare reassignment NPD
• Norwood Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1528547312
  Medicare reassignment NPD
• Pelham Pkwy Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1285156067
  Medicare reassignment NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1700893393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 OCEAN AVE STE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293957",
            "telephone_number": "718-504-6044",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 OCEAN AVE STE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293957",
            "telephone_number": "718-504-6044",
            "fax_number": "224-235-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETMAN",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "253413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04705060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irina Yesina, DDS
• Yesod Licensed Behavior Analyst PLLC
• Abdel Karimou Babatounde Yessoufou
• Yesterday's Youth LLC
• Mesrob Yeterian, MD
• Shauna Yetman
• Matthew Yetsko, LCSW-R
• Adrian Yeung, D.D.S.
• Cindy Yeung
• Diana Yeung

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.