YAMA QADERI P.A
NPI 1558525543
Physician Assistant - Surgical in Miller Place, NY

Q: What is Yama Qaderi's NPI number?

The NPI number for Yama Qaderi is 1558525543. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Q: What is Yama Qaderi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Yama Qaderi was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 18, 2008PECOS Enrolled

292 PARKSIDE AVE, MILLER PLACE, NY 11764(631) 849-5281 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Yama Qaderi P.a NPPES

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

YAMA QADERI P.A (NPI 1558525543) is an individual surgical provider in Miller Place, New York, licensed in New York (011196) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558525543

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameYAMA QADERICredential: P.A

Location Address292 PARKSIDE AVEMiller Place, NY 11764-3521

Mailing Address600 Community Dr Ste 304Manhasset, NY 11030-3818 · (516) 823-8855

Phone(631) 849-5281

Sole ProprietorNo

Enumeration DateJuly 18, 2008

Last NPPES UpdateJanuary 11, 2011

✔ NPI 1558525543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AS0400X

License✔ Licensed in NY · 011196

292 PARKSIDE AVE, Miller Place, NY 11764

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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)

Yama Qaderi 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.

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 Yama Qaderi's NPI number?

The NPI number for Yama Qaderi is 1558525543. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Yama Qaderi located?

Yama Qaderi practices at 292 Parkside Ave, Miller Place, NY 11764. The listed phone number is (631) 849-5281.

What is Yama Qaderi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Yama Qaderi enrolled in Medicare?

Yes. Yama Qaderi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yama Qaderi was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.