Individual provider Active NPI

Yilda Limary Mayo, M.D.

  • Pediatrics Physician
  • Millburn, NJ
National Provider Identifier
1922244169
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08947900 Issued in NJ
Practice address
33 Bleeker St
Millburn, NJ 07041-1459
Phone
(973) 379-2488
NPI assigned
Dec 17, 2008
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 22569 PR
Pediatrics Physician 208000000X ME159767 FL
Pediatrics Physician 208000000X 25MA08947900 NJ Primary

Addresses

Primary practice location

33 Bleeker St
Millburn, NJ 07041-1459

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Other names 1

  • Yilda Limary Alvarado Rosario Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20121205000228 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8921250598 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME159767FLMDPediatrics Physician
25MA08947900NJMDPediatrics Physician
22569PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Mar 17, 2025 Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Nov 1, 2012 Accepting new patients
Middlesex Emergency Physicians, P.a. CurrentSince Oct 1, 2014 Accepting new patients
Summit Medical Group PA CurrentSince Mar 17, 2025 Accepting new patients
Community Health of South Florida, Inc. PastSince Apr 1, 2023 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics PastSince Apr 1, 2023 Accepting new patients
Summit Medical Group, Inc Pediatrics Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

65 James St
Edison, NJ 08820
Phone (732) 321-7010

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

Interoperability endpoints

  • Direct secure messaging: yilda.mayo.1@2983.direct.athenahealth.com

Organizations & group practices 7

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1922244169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BLEEKER ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411459",
            "telephone_number": "973-379-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "YILDA",
        "middle_name": "LIMARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "22569",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME159767",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08947900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YILDA",
            "last_name": "ALVARADO ROSARIO",
            "middle_name": "LIMARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.