Individual provider Active NPI

Yana Michaels

  • Physician Assistant
  • Yonkers, NY
National Provider Identifier
1821446360
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016220 Issued in NY
Practice address
713 Yonkers Ave
Yonkers, NY 10704-2657
Phone
(914) 375-6600
Fax
(914) 377-1366
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016220 NY Primary

Addresses

Primary practice location

713 Yonkers Ave
Yonkers, NY 10704-2657

Mailing address

713 Yonkers Ave
Yonkers, NY 10704-2657
Phone (914) 375-6600

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216000098 NY Practitioner - Physician Assistant 8022306638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016220NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Medical Diagnostics,PC PastSince May 1, 2015 Accepting new patients
Yonkers Medical Diagnostic,PC Past Accepting new patients
DP Radiology Imaging PC PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1821446360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042657",
            "telephone_number": "914-375-6600",
            "fax_number": "347-453-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042657",
            "telephone_number": "914-375-6600",
            "fax_number": "914-377-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "YANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.