Individual provider Active NPI

Yaseen I Kadura, MD

  • Psychiatry Physician
  • Neptune City, NJ
National Provider Identifier
1730641317
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
325975 Issued in NY
Practice address
1945 Route 33
Neptune City, NJ 07753
Phone
(732) 775-5500
NPI assigned
Apr 3, 2019
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AR
Psychiatry Physician 2084P0800X 325975 NY Primary
Psychiatry Physician 2084P0800X ME161585 FL

Addresses

Primary practice location

1945 Route 33
Neptune City, NJ 07753

Mailing address

7901 Broadway # D10-36
Elmhurst, NY 11373-1329
Phone (718) 334-3570

Other practice location 1

7901 Broadway # D10-36
Elmhurst, NY 11373-1329
Phone (718) 334-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240217000073 NJ Practitioner - Psychiatry 7618311689 Reassigns benefits to 1 organization
I20240513001500 NY Practitioner - Psychiatry 7618311689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME161585FLMDPsychiatry Physician
325975NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Single Specialty CurrentSince Apr 6, 2025 Accepting new patients
Summit Oaks Hospital Inc Single Specialty CurrentSince Jan 16, 2024 Accepting new patients
St. Joseph's Hospital & Medical Center Single Specialty CurrentSince May 1, 2024 Accepting new patients
St. Joseph's Hospital Yonkers Single Specialty Current Accepting new patients
New York City Health and Hospitals Corporation Single Specialty CurrentSince Apr 6, 2025 Accepting new patients
New York City Health and Hospitals Corporation Single Specialty Current Accepting new patients
St Josephs Hospital Yonkers CurrentSince May 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Single Specialty Past Accepting new patients
St Josephs Hospital Yonkers Past Accepting new patients

Locations

19 Prospect St
Summit, NJ 07901
Phone (908) 522-7000

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

7901 Broadway
#D127
Flushing, NY 11373

275 North St
Harrison, NY 10528
Phone (914) 925-5211

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

127 S Broadway
#2
Yonkers, NY 10701
Phone (914) 378-7342

Networks

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

Interoperability endpoints

  • Direct secure messaging: ykadura4745667@nychhc.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1730641317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY # D10-36",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-3570",
            "fax_number": "718-334-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-775-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Broadway # D10-36",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-334-3570",
            "fax_number": "718-334-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADURA",
        "first_name": "YASEEN",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "325975",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME161585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune City, NJ

Sources for this page

Verify at the official NPI Registry.