EDWARDO M YAMBO MD PC – NPI #1194829754
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

EDWARDO M YAMBO MD PC is a provider located in BAY SHORE, NY. NPPES has assigned the NPI number 1194829754 to EDWARDO M YAMBO MD PC on September 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 8 years ago on Aug 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARDO M YAMBO MD PC below.

The provider associated with this NPI number, 1194829754, has been excluded by the Office of Inspector General.

NPI Profile for
EDWARDO M YAMBO MD PC

NPI Number
1194829754
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDWARDO M YAMBO MD PC
Primary location
41 BRENTWOOD RD
BAY SHORE, NY 11706
Phone: (631) 968-0800 Fax: (631) 665-0816
1 Other location(s):
60 EAST INDUSTRY COURT
DEER PARK, NY 11729-4728
Phone: (631) 667-0222
Fax: (631) 667-0223
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDWARDO YAMBO
OWNER
Phone: (631) 968-0800
Updated
Identifiers

Identifiers for EDWARDO M YAMBO MD PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI1164480414
OTHERNPINY1962591271
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.