Individual provider Active NPI

Yury Johana Parra, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1992149769
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
295445-1 Issued in NY
Practice address
1901 1St Ave
New York, NY 10029-7494
Phone
(212) 423-7639
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 295445-1 NY Primary

Addresses

Primary practice location

1901 1St Ave
New York, NY 10029-7494

Mailing address

306 Malcolm X Blvd
New York, NY 10027-4465
Phone (267) 940-7284

Other practice location 1

169 W 133rd St
New York, NY 10030-3301
Phone (646) 762-4950

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
I20181018001031 NY Practitioner - Family Practice 1850518689 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295445NYMDLicensed Practical Nurse
295445-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 14, 2018 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. CurrentSince Jun 6, 2022 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Sep 14, 2018 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jan 1, 2020 Accepting new patients
Shlomit Levy PastSince Jun 6, 2022 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

111 E 210th St
Bronx, NY 10467

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

Organizations & group practices 6

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1992149769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274465",
            "telephone_number": "267-940-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297494",
            "telephone_number": "212-423-7639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 W 133rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100303301",
            "country_code": "US",
            "telephone_number": "646-762-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRA",
        "first_name": "YURY",
        "middle_name": "JOHANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "295445-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.