Mondana Yazdi PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA06164400 Issued in NJ

Legal business name

MONDANA YAZDI PA

Practice address

219 Everett Ave
Wyckoff, NJ 07481-1904

Phone

(201) 891-4777

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mondana Sepahi Yazdi, M.D., F.A.A.P.NPI 1174602288

Title

President

Phone

(201) 891-4777

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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

• Mondana Sepahi Yazdi, M.D., F.A.A.P.

  • Pediatrics Physician
  • Wyckoff, NJ
  • NPI 1174602288
  NPD (past) Authorized official
• Dolores C Dee Michelle Buli, MD

  • Pediatrics Physician
  • Westwood, NJ
  • NPI 1497858468
  NPD (past)
• Rebecca Farber, MD

  • Pediatrics Physician
  • Tenafly, NJ
  • NPI 1609982065
  NPD (past)
• Erin Leigh Leonard, DNP,PNP-BC

  • Nurse Practitioner
  • Glen Rock, NJ
  • NPI 1073030953
  NPD (past)
• Diana L Maloney, PNP-BC

  • Pediatric Nurse Practitioner
  • Paramus, NJ
  • NPI 1578161832
  NPD (past)
• Theresa M Torres

  • Pediatrics Physician
  • Pompton Plains, NJ
  • NPI 1326155466
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942389812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 EVERETT AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811904",
            "telephone_number": "201-891-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 EVERETT AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811904",
            "telephone_number": "201-891-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONDANA YAZDI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "MONDANA",
        "authorized_official_middle_name": "SEPAHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-891-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA06164400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millers of Wyckoff Inc
• William B Milnes, PTA
• Minds Wide Open Psychotherapy, LLC
• Mlt360 Meals, Lifestyle, Nutrition Therapy, LLC
• Mobile Dental Practice, PC
• Bart Mongiello, LCSW
• Montenare Eye Care & Vision Therapy LLC
• Michael Thomas Montenare, O.D.
• Lisa C Monti, R.D., M.S.
• Edward Morr, M.D.

• Pediatrics Physician in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.