MR. PENDOR HAIYEDE NP
NPI 1215586490
Nurse Practitioner - Psychiatric/Mental Health in Elmhurst, NY

Q: What is Pendor Haiyede's NPI number?

The NPI number for Pendor Haiyede is 1215586490. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Q: What is Pendor Haiyede's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Pendor Haiyede was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 10, 2019PECOS Enrolled

7901 BROADWAY # D1-05, ELMHURST, NY 11373(718) 334-2488(718) 334-5006 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2024, Jan 3, 2023, Sep 10, 2019 (3 updates tracked since 2019).

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About Mr. Pendor Haiyede Np NPPES

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

MR. PENDOR HAIYEDE NP (NPI 1215586490) is an individual psychiatric/mental health provider in Elmhurst, New York, licensed in New York (F405602) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215586490

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. PENDOR HAIYEDECredential: NP

Location Address7901 BROADWAY # D1-05Elmhurst, NY 11373-1329

Mailing Address7901 Broadway # D1-05Elmhurst, NY 11373-1329 · (718) 334-2488 · Fax (718) 334-5006

Phone(718) 334-2488

Fax(718) 334-5006

Sole ProprietorYes

Enumeration DateSeptember 10, 2019

Last NPPES UpdateMarch 6, 20243 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1215586490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F405602

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F309258 (NY)

7901 BROADWAY # D1-05, Elmhurst, NY 11373

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Pendor Haiyede Np 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

24 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TENZIN CHODON NP

Nurse Practitioner (Gerontology)

7901 BROADWAY # D1-05
ELMHURST, NY 11373

Queens County (718) 334-2488

MR. TREVOR EMMANUEL WATSON FNP

Nurse Practitioner (Family)

7901 BROADWAY # D1-05
ELMHURST, NY 11373

Queens County (718) 334-2488

JULIO REYES NP

Nurse Practitioner (Gerontology)

7901 BROADWAY # D1-05
ELMHURST, NY 11373

Queens County (718) 334-2488

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 Pendor Haiyede's NPI number?

The NPI number for Pendor Haiyede is 1215586490. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Pendor Haiyede located?

Pendor Haiyede practices at 7901 Broadway # D1-05, Elmhurst, NY 11373. The listed phone number is (718) 334-2488.

What is Pendor Haiyede's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Pendor Haiyede enrolled in Medicare?

Yes. Pendor Haiyede is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pendor Haiyede was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.