DR. YANDRESCO QUINTANA DDS, MD
NPI 1114187762
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since June 16, 2008PECOS Enrolled
651 W 180TH ST STE 1, NEW YORK, NY 10033(212) 927-0565(212) 812-3239 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2020, Jan 3, 2016 (2 updates tracked since 2016).

About Dr. Yandresco Quintana Dds, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YANDRESCO QUINTANA DDS, MD (NPI 1114187762) is an individual oral and maxillofacial surgery provider in New York, New York, licensed in New York (057383) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114187762
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. YANDRESCO QUINTANACredential: DDS, MD
Location Address651 W 180TH ST STE 1New York, NY 10033-4802
Mailing Address651 W 180th St Ste 1New York, NY 10033-4802 · (212) 927-0565
Fax(212) 812-3239
Sole ProprietorYes
Enumeration DateJune 16, 2008
Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
NPI 1114187762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 057383
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 276236 (NY)
651 W 180TH ST STE 1, New York, NY 10033

Other Identifiers 1

Medicaid04345231NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Yandresco Quintana Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yandresco Quintana's NPI number?

The NPI number for Yandresco Quintana is 1114187762. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Yandresco Quintana located?

Yandresco Quintana practices at 651 W 180th St Ste 1, New York, NY 10033. The listed phone number is (212) 927-0565.

What is Yandresco Quintana's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Yandresco Quintana enrolled in Medicare?

Yes. Yandresco Quintana is registered in the Medicare PECOS enrollment system.

What insurance does Yandresco Quintana accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Yandresco Quintana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yandresco Quintana was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.