Active NPI
Yesenia Valencia Joseph, MST
- Specialist
- Brooklyn, NY
National Provider Identifier
1821470519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1410039
- Practice address
- 5510 Avenue I
Brooklyn, NY 11234-1706 - Phone
- (347) 702-7204
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1410039 | NY | Primary |
Addresses
Primary practice location
5510 Avenue I
Brooklyn, NY 11234-1706
Mailing address
18 Madison Ave
Port Chester, NY 10573-3204
Phone (914) 310-6889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1410039 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1821470519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MADISON AVE",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105733204",
"telephone_number": "914-310-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 AVENUE I",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112341706",
"telephone_number": "347-702-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "YESENIA",
"middle_name": "VALENCIA",
"credential": "MST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1410039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.