Individual provider Active NPI

Mandy Yi, PA-C

  • Physician Assistant
  • Florham Park, NJ
National Provider Identifier
1932659984
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00477300 Issued in NJ
Practice address
10 James St Ste 150
Florham Park, NJ 07932-1426
Phone
(973) 822-2000
Fax
(973) 822-2001
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00477300 NJ Primary

Addresses

Primary practice location

10 James St Ste 150
Florham Park, NJ 07932-1426

Mailing address

10 James St Ste 150
Florham Park, NJ 07932-1426
Phone (973) 822-2000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629000416 NJ Practitioner - Physician Assistant 0244586501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maron and Rodrigues Medical Group LLCGroup PAC ID 3375596018, 8 clinicians

Practice addresses (Care Compare)

10 James St
Suite 150
Florham Park, NJ 07932-1426
Phone (973) 822-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00477300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maron and Rodrigues Medical Group Current Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1932659984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JAMES ST STE 150",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321426",
            "telephone_number": "973-822-2000",
            "fax_number": "973-822-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JAMES ST STE 150",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321426",
            "telephone_number": "973-822-2000",
            "fax_number": "973-822-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "MANDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00477300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.