Batoul Yaghi

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

03046401 Issued in NY

Practice address

69 Pheasant LN BSMT
Staten Island, NY 10309-1969

Phone

(347) 777-2057

NPI assigned

Nov 20, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1780459859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PHEASANT LN BSMT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091969",
            "telephone_number": "347-777-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 PHEASANT LN BSMT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091969",
            "telephone_number": "347-777-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGHI",
        "first_name": "BATOUL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "03046401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Y Miller LMSW Services
• Y.M.C.a
• Ya-Tseng William Lu, M.D., PLLC
• Dikshya Yadav
• Yaghi Smile
• Mohamad Yaghi, DDS
• Lizabeth Yagupolskiy
• Doaa Yahia, RN
• Yekaterina Yakhontova
• Elizabeth Yakobashvili, PA-C

• Physician Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.