Individual provider Active NPI

Peyman Younesi, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1891942645
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024007591 Issued in MO
Practice address
100 Castleton Ave
Staten Island, NY 10301-3004
Phone
(718) 709-0940
NPI assigned
Aug 23, 2008
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2024007591 MO Primary
Internal Medicine Physician 207R00000X A112877 CA
Internal Medicine Physician 207R00000X 2581181 NY

Addresses

Primary practice location

100 Castleton Ave
Staten Island, NY 10301-3004

Mailing address

6136 170TH St Apt M4
Fresh Meadows, NY 11365-1957
Phone (310) 709-1236

Other practice location 1

9131 175th St
Jamaica, NY 11432-5517
Phone (310) 709-1236

Other practice location 2

1415 Hickory St
Melbourne, FL 32901-3225
Phone (321) 723-1321

Other practice location 3

10954 Kennerly Rd
Saint Louis, MO 63128-2018
Phone (314) 843-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, OH, PA, FL, MO, RI, GA, TN, CA, MD, LA, VA, MA, CO15 enrollments
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 15

Enrollment IDStateProvider typePAC IDDetails
I20110202000565 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0345420790 Reassigns benefits to 11 organizations
I20211208000113 NJ Practitioner - Internal Medicine 0345420790 Reassigns benefits to 5 organizations
I20221214001219 OH Practitioner - Internal Medicine 0345420790 Reassigns benefits to 3 organizations
I20230209002258 PA Practitioner - Internal Medicine 0345420790 Reassigns benefits to 2 organizations
I20230620002088 FL Practitioner - Internal Medicine 0345420790 Reassigns benefits to 2 organizations
I20240513002936 MO Practitioner - Internal Medicine 0345420790 Reassigns benefits to 2 organizations
I20240522003090 RI Practitioner - Internal Medicine 0345420790
I20240603002810 GA Practitioner - Internal Medicine 0345420790 Reassigns benefits to 1 organization
I20240716004434 TN Practitioner - Internal Medicine 0345420790 Reassigns benefits to 2 organizations
I20241029000657 CA Practitioner - Internal Medicine 0345420790 Reassigns benefits to 1 organization
I20241112000347 MD Practitioner - Internal Medicine 0345420790
I20250312001845 LA Practitioner - Internal Medicine 0345420790 Reassigns benefits to 1 organization
I20251016003391 VA Practitioner - Internal Medicine 0345420790 Reassigns benefits to 1 organization
I20251022004178 MA Practitioner - Internal Medicine 0345420790 Reassigns benefits to 1 organization
I20260311000421 CO Practitioner - Internal Medicine 0345420790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterview Nursing Care Center, Inc.Group PAC ID 4082662663, 2 clinicians

Practice addresses (Care Compare)

11915 27TH Ave
Flushing, NY 11354-1011
Phone (718) 461-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71182TNMDRegistered Nurse
A112877CAMDInternal Medicine Physician
2581181NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Revive Wound Care Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Py Medical Services of TN PC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Py Medical Services of Oh Inc Internal Medicine CurrentSince Mar 5, 2024 Accepting new patients
Medical Services of Northeastern Queens PLLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients
Clear Choice Medical PC Internal Medicine CurrentSince May 7, 2018 Accepting new patients
Py Medical Services of Mo PC Internal Medicine CurrentSince Mar 9, 2024 Accepting new patients
SV Operating Three LLC CurrentSince Feb 24, 2018 Accepting new patients
Py Medical Services of FL PLLC Internal Medicine CurrentSince Mar 16, 2023 Accepting new patients
Py Medical Services of PA PLLC Internal Medicine CurrentSince Dec 24, 2022 Accepting new patients
Rite Med Group of Ga PC Internal Medicine CurrentSince Oct 4, 2024 Accepting new patients
My Medical PC Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Py Physician Services LLC Internal Medicine CurrentSince Jan 21, 2023 Accepting new patients
FM Medical Services LLC Internal Medicine CurrentSince Jan 20, 2023 Accepting new patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Aug 16, 2023 Accepting new patients
Py Medical Services of Ny PLLC Internal Medicine CurrentSince Oct 4, 2022 Accepting new patients
Waterview Nursing Care Center, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Medical Director Services PC CurrentSince Apr 1, 2017 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Jun 6, 2012 Accepting new patients
Py Medical Services of NJ LLC CurrentSince Dec 25, 2022 Accepting new patients
Peyman Younesi MD Professional Corporation Internal Medicine CurrentSince Dec 29, 2024 Accepting new patients
Rite Med Group of PA PLLC Internal Medicine CurrentSince Jan 31, 2023 Accepting new patients
Harbormed Care of Ga PC Internal Medicine Past Accepting new patients
Abraham Operations Associates LLC Past Accepting new patients
Amerifalls LLC Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Ncrnc LLC Past Accepting new patients
Wartburg Receiver, LLC Past Accepting new patients
Rockaway Operations Associates LLC Past Accepting new patients
Meadow Park Rehabilitation & Health Care Center LLC Past Accepting new patients
Leroy Operating LLC Past Accepting new patients
Genesee Center Operating Past Accepting new patients
Hollis Operating Co LLC Past Accepting new patients
Rego Park N H LTD Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Ross Opco LLC Past Accepting new patients
Optima Care Little Neck LLC Past Accepting new patients
Riverdale Nursing Home Inc Past Accepting new patients
Parkview Operating Co LLC Past Accepting new patients
Buena Vida SNF LLC Past Accepting new patients
Riverdale SNF LLC Past Accepting new patients
Highland Care Center, Inc Past Accepting new patients
Doj Operations Associates, LLC Past Accepting new patients
Holliswood Care Center Inc Past Accepting new patients
Py Medical Services of Ga PC Internal Medicine PastSince Apr 1, 2024 Accepting new patients
Tcprnc, LLC Past Accepting new patients
Wmop LLC Past Accepting new patients
Brooklyn Queens Nursing Home, Inc Past Accepting new patients
Midway Nursing Home, Inc. Past Accepting new patients

Locations (25 of 55)

20801 Devonshire St
Chatsworth, CA 91311
Phone (818) 230-3087

587 Rio Lindo Ave
Chico, CA 95926
Phone (530) 345-1306

12791 W Alameda Pkwy
Lakewood, CO 80228
Phone (303) 237-5700

1415 Hickory St
Melbourne, FL 32901
Phone (321) 723-1321

3051 Whiteside Rd
Macon, GA 31216
Phone (478) 347-2400

2575 Airline Dr
Bossier City, LA 71111
Phone (318) 459-7520

168 W Central St
Natick, MA 01760
Phone (508) 650-2106

10954 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 843-4242

110 Highland Ave
Valley Park, MO 63088
Phone (636) 225-5144

1155 E Jersey St
Elizabeth, NJ 07201
Phone (732) 987-5122

43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100

155 40th St
Irvington, NJ 07111
Phone (201) 422-2556

198 Stevens Ave
Jersey City, NJ 07305
Phone (201) 451-9000

601 Prospect St
Lakewood, NJ 08701
Phone (732) 886-7335

104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

65 Jay St
#C
Newark, NJ 07103
Phone (973) 483-6800

100 Chapin Ave
Red Bank, NJ 07701
Phone (732) 741-8811

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

641 W 230th St
Bronx, NY 10463
Phone (646) 285-1720

707 Throggs Neck Expy
Bronx, NY 10465
Phone (718) 430-0003

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Achieve Rehab & Nursing FacilityLiberty, NY, CCN 335449 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jul 28, 2025
Woodcrest Rehabilitation and Residential Health Care Center LLCFlushing, NY, CCN 335266 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 30, 2022
Feb 4, 2025
Bushwick Center for Rehabilitation and Health CareBrooklyn, NY, CCN 335703 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 1, 2017
Nov 1, 2017
Waterview Nursing Care Center, Inc.Flushing, NY, CCN 335154 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2025
Aug 1, 2025
Midway Nursing Home, Inc.Maspeth, NY, CCN 335472 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 3, 2019
Jul 3, 2019
Brooklyn Queens Nursing Home IncBrooklyn, NY, CCN 335637001 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 3, 2019
Jul 3, 2019
Pharmacon CoFar Rockaway, NY, CCN 335737 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Sep 1, 2018
Sep 1, 2018
Nov 24, 2025
Holliswood Center for Rehabilitation and HealthcareHollis, NY, CCN 335503 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2018
Aug 1, 2018
Beth Abraham Center for Rehabilitation and NursingBronx, NY, CCN 335201 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 4, 2022
Aug 4, 2022
Little Neck Care CenterLittle Neck, NY, CCN 335434 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2019
May 15, 2025

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 62

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.

View all 62

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1891942645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 170TH ST APT M4",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651957",
            "telephone_number": "310-709-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013004",
            "telephone_number": "718-709-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9131 175th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114325517",
            "country_code": "US",
            "telephone_number": "310-709-1236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013225",
            "country_code": "US",
            "telephone_number": "321-723-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10954 Kennerly Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282018",
            "country_code": "US",
            "telephone_number": "314-843-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNESI",
        "first_name": "PEYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-23",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2024007591",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A112877",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2581181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.