Ypp New Modern Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

YPP NEW MODERN MEDICINE PLLC

Practice address

201 Wadsworth Ave
Unit GD3
New York, NY 10033-3862

Phone

(347) 375-3774

Fax

(212) 567-0459

NPI assigned

Feb 14, 2013

Organization subpart

No

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

Authorized official

Name

Yomaris Mercedes Pena Pena, MDNPI 1457509762

Title

Physician

Phone

(347) 375-3774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDCBCA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yomaris Mercedes Pena Pena, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1457509762
  Medicare reassignment NPD Authorized official
• Melinda Simmons, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1649816125
  Medicare reassignment NPD

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1841539657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 45TH ST",
            "address_2": "APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363853",
            "telephone_number": "646-595-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WADSWORTH AVE",
            "address_2": "UNIT GD3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333862",
            "telephone_number": "347-375-3774",
            "fax_number": "212-567-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YPP NEW MODERN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "PENA PENA",
        "authorized_official_first_name": "YOMARIS",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "347-375-3774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adwah Yousuf, PHARMD
• Solaman Yousuf
• Waqar Yousuf
• Andrew So Youv, AGACNP
• Youwen Harmony Acupuncture PC
• Maria Ypsilantis
• Maria Elisa Miranda Yruma, P.T.
• Yt Tsao'S Chiropractic P.C.
• Yte Physical Therapy PC
• Yu Acupuncture PC

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.