Yasmeen Ahmed Moody, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

147335-1 Issued in NY

Practice address

3 Red Rock Rd
New City, NY 10956

Phone

(845) 708-5603

Fax

(607) 535-4744

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Yasmeen a Moody MD PC

  • Plastic Surgery Physician
  • Watkins Glen, NY
  • NPI 1609827377
  NPD (past) Authorized official
• Highland Medical P.C.

  • General Practice Physician
  • Nyack, NY
  • NPI 1376600304
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1992704845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RED ROCK RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-708-5603",
            "fax_number": "607-277-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RED ROCK RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-708-5603",
            "fax_number": "607-535-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "YASMEEN",
        "middle_name": "AHMED",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "147355",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "147335-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007L1413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montefiore Medical Center
• Montefiore Medical Center
• Montefiore Nyack Hospital
• Nicole Montoya Martinez
• Montrose Vamc
• Ellen Haleo Moore, P.T.
• Janice Renee Moore, LCSW
• Paul M Moore, PHARM. D.
• Kessy Esther Moreau
• Audrey Isabel Morgan, RN

• Plastic Surgery Physician in New City, NY
• Providers in New City, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.