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Menachem Mendel Yaffee, PA-C

Physician Assistant in New York, NY. Individual provider (NPI-1).

NPI number1669948295
StatusActive
Last updated in NPPESDec 21, 2023

Details

NPI
1669948295
Entity type
Individual (NPI-1)
Name
Menachem Mendel Yaffee
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Oct 22, 2018
Certification date
Dec 21, 2023
Last updated
Dec 21, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant023057NYYes

Practice location

622 W 168th St
New York, NY 10032-3720

Phone 212-305-6059

Mailing address

622 W 168th St
New York, NY 10032-3720

Phone 212-305-6059

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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