YANICK MOYEN P.A.
NPI 1245389550
Physician Assistant - Medical in Freeport, NY

Q: What is Yanick Moyen's NPI number?

The NPI number for Yanick Moyen is 1245389550. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Yanick Moyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Yanick Moyen was last updated on December 11, 2023. 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 January 09, 2007PECOS Enrolled

55 N MAIN ST, FREEPORT, NY 11520(516) 377-8014(516) 888-1530 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Yanick Moyen P.a. NPPES

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

YANICK MOYEN P.A. (NPI 1245389550) is an individual medical provider in Freeport, New York, licensed in New York (007941) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245389550

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameYANICK MOYENCredential: P.A.

Location Address55 N MAIN STFreeport, NY 11520-2243

Mailing Address897 Preston RdEast Meadow, NY 11554-4535 · (516) 710-0130

Phone(516) 377-8014

Fax(516) 888-1530

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateDecember 11, 2023

NPPES CertifiedDecember 6, 2023

✔ NPI 1245389550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 007941

55 N MAIN ST, Freeport, NY 11520

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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)

Yanick Moyen P.a. 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.

Other Providers at the Same Location NPPES 18

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

DR. MOHAMED IDRIS MEDICAL PC

Internal Medicine (Endocrinology, Diabetes & Metabolism)