Individual provider Active NPI

Yonette Davis, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1871619395
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211983 Issued in NY
Practice address
1024 Westchester Ave
Bronx, NY 10459-2415
Phone
(718) 765-6340
Fax
(347) 448-5436
NPI assigned
Mar 22, 2007
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211983 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 211983 NY

Addresses

Primary practice location

1024 Westchester Ave
Bronx, NY 10459-2415

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 929-0373

Other practice location 1

1953 University Ave
Bronx, NY 10453-4404
Phone (718) 765-6054

Other practice location 2

240 Willoughby Street
Suite 7F
Broolyn, NY 11201
Phone (718) 250-6100

Other practice location 3

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-1653

Other practice location 4

210 Fulton Ave
Hempstead, NY 11550-3705
Phone (718) 765-6001

Other practice location 5

9701 Northern Blvd
Flushing, NY 11368-1043
Phone (718) 765-6053

Other practice location 6

22219 Linden Blvd
Jamaica, NY 11411-1605
Phone (718) 765-6055

Other practice location 7

1555 Westchester Ave
Bronx, NY 10472-2910
Phone (718) 765-6367

Other practice location 8

2721 Bronxwood Ave
Bronx, NY 10469-3642
Phone (718) 765-6350

Other identifiers 1

IdentifierTypeStateIssuer
02042928MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000348 NY Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 3375604119 Reassigns benefits to 5 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Hospice/Palliative Care, Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patriot Medical Wound Health PCGroup PAC ID 4385090794, 7 clinicians
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians

Practice addresses (Care Compare)

120 Church St
White Plains, NY 10601-1209
Phone (845) 362-8400

22219 Linden Blvd
Jamaica, NY 11411-1605
Phone (718) 765-6055

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Patriot Medical Wound Health PC CurrentSince Aug 24, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2019 Accepting new patients
Oak Street Health of New York Medical Group PC Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Prospect Park Operating, LLC CurrentSince Dec 8, 2021 Accepting new patients
Medical Director Services PC Geriatric Medicine CurrentSince Dec 1, 2018 Accepting new patients
Patriot Medical Internal Medicine CurrentSince Aug 4, 2025 Accepting new patients
TBHC Medical Testing Services PC Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

96 Linwood Plz
Fort Lee, NJ 07024
Phone (201) 681-5066

1024 Westchester Ave
Bronx, NY 10459
Phone (718) 765-6340

1555 Westchester Ave
Bronx, NY 10472
Phone (718) 765-6367

2721 Bronxwood Ave
Bronx, NY 10469
Phone (347) 736-0207

1455 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 252-9800

240 Willoughby St
Apt 7F
Brooklyn, NY 11201
Phone (718) 250-6100

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

9701 Northern Blvd
Flushing, NY 11368
Phone (718) 765-6053

210 Fulton Ave
Hempstead, NY 11550
Phone (718) 765-6001

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

22219 Linden Blvd
Jamaica, NY 11411
Phone (718) 765-6055

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

787 King St
Rye Brook, NY 10573
Phone (914) 600-7149

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

Networks

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

Organizations & group practices 10

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1871619395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592415",
            "telephone_number": "718-765-6340",
            "fax_number": "347-448-5436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1953 University Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534404",
            "country_code": "US",
            "telephone_number": "718-765-6054",
            "fax_number": "347-706-3912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Willoughby Street",
            "address_2": "Suite 7F",
            "address_purpose": "LOCATION",
            "city": "Broolyn",
            "state": "NY",
            "postal_code": "11201",
            "country_code": "US",
            "telephone_number": "718-250-6100",
            "fax_number": "718-250-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-1653",
            "fax_number": "212-289-6393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115503705",
            "country_code": "US",
            "telephone_number": "718-765-6001",
            "fax_number": "516-461-2893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9701 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113681043",
            "country_code": "US",
            "telephone_number": "718-765-6053",
            "fax_number": "347-706-3810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22219 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114111605",
            "country_code": "US",
            "telephone_number": "718-765-6055",
            "fax_number": "347-808-4948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104722910",
            "country_code": "US",
            "telephone_number": "718-765-6367",
            "fax_number": "347-523-8127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2721 Bronxwood Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104693642",
            "country_code": "US",
            "telephone_number": "718-765-6350",
            "fax_number": "347-736-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "YONETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211983",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "211983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02042928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.