SOUTH YONKERS FAMILY MEDICINE,PLLC
NPI 1568402972
Specialist in Yonkers, NY

Active since June 07, 2006CLIA 33D0886276 · Waiver
32 HYATT AVE, YONKERS, NY 10704(914) 237-8282 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About South Yonkers Family Medicine,pllc NPPES

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

SOUTH YONKERS FAMILY MEDICINE,PLLC (NPI 1568402972) is a healthcare organization registered as a specialist in Yonkers, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Caridad Fresneda, Owner, as its authorized official.

NPPES Registry Identity

NPI1568402972
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH YONKERS FAMILY MEDICINE,PLLC
Location Address32 HYATT AVEYonkers, NY 10704-4311
Mailing Address32 Hyatt AveYonkers, NY 10704-4311 · (914) 237-8282
Organization SubpartNo
Authorized OfficialCaridad FresnedaOwner · (914) 237-8282
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 10, 2013
✔ NPI 1568402972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 190207-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
32 HYATT AVE, Yonkers, NY 10704

Other Identifiers 6

OtherDE4256NY · Railroad Mdcr Group #
Medicare NSC5297060002NY
Other008619NY · Aetna Hmo Group #
Medicare NSC5297060001NY
Other0455572NY · Aetna Ppo Group #
Medicare PINWEV061NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Yonkers Family Medicine,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to South Yonkers Family Medicine,pllc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1346242120
30 KIMBALL AVE
Yonkers, NY 10704
(914) 237-8282
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1750382966
30 KIMBALL AVE
Yonkers, NY 10704
(914) 237-8282
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0886276

South Yonkers Family Medicine PLLC · Yonkers, NY
Active · expires Jul 19, 2028
CLIA Number33D0886276
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorDr. Caridad I. Fresneda
Laboratory Phone(914) 237-8282
Laboratory LocationSouth Yonkers Family Medicine PLLC30 Kimball Avenue, Yonkers, NY 10704
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 South Yonkers Family Medicine,pllc's NPI number?

The NPI number for South Yonkers Family Medicine,pllc is 1568402972. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is South Yonkers Family Medicine,pllc located?

South Yonkers Family Medicine,pllc is located at 32 Hyatt Ave, Yonkers, NY 10704. The listed phone number is (914) 237-8282.

What is South Yonkers Family Medicine,pllc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is South Yonkers Family Medicine,pllc enrolled in Medicare?

Yes. South Yonkers Family Medicine,pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Yonkers Family Medicine,pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to South Yonkers Family Medicine,pllc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Yonkers Family Medicine,pllc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0886276) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Yonkers Family Medicine,pllc was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.