YPP NEW MODERN MEDICINE PLLC
NPI 1841539657
Internal Medicine in New York, NY

Active since February 14, 2013CLIA 33D2212059 · Waiver
201 WADSWORTH AVE, UNIT GD3, NEW YORK, NY 10033(347) 375-3774(212) 567-0459 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ypp New Modern Medicine Pllc NPPES

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

YPP NEW MODERN MEDICINE PLLC (NPI 1841539657) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Yomaris Mercedes Pena Pena, Physician, as its authorized official.

NPPES Registry Identity

NPI1841539657
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameYPP NEW MODERN MEDICINE PLLC
Location Address201 WADSWORTH AVE, UNIT GD3New York, NY 10033-3862
Mailing Address330 W 45th St, Apt 1hNew York, NY 10036-3853 · (646) 595-9063
Fax(212) 567-0459
Organization SubpartNo
Authorized OfficialYomaris Mercedes Pena PenaPhysician · (347) 375-3774
Enumeration DateFebruary 14, 2013
✔ NPI 1841539657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 WADSWORTH AVE, New York, NY 10033

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ypp New Modern Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20130710000001Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ypp New Modern Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1457509762
201 WADSWORTH AVE UNIT GD3
New York, NY 10033
(646) 595-9063
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649816125
2116 FREDERICK DOUGLASS BLVD
New York, NY 10026
(212) 882-1154
✔ PECOS✔ Accepts Medicare3.5 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 33D2212059

Ypp New Modern Medicine PLLC · New York, NY
Active · expires Feb 1, 2027
CLIA Number33D2212059
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorYomaris M. Pena Pena
Laboratory Phone(646) 329-6100
Laboratory LocationYpp New Modern Medicine PLLC201 Wadsworh Ave Suite Gd3, New York, NY 10033
CLIA data matches this NPI record on: Name
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 Ypp New Modern Medicine PLLC's NPI number?

The NPI number for Ypp New Modern Medicine PLLC is 1841539657. It was assigned to this organization in the NPPES registry on February 14, 2013.

Where is Ypp New Modern Medicine PLLC located?

Ypp New Modern Medicine PLLC is located at 201 Wadsworth Ave Unit Gd3, New York, NY 10033. The listed phone number is (347) 375-3774.

What is Ypp New Modern Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ypp New Modern Medicine PLLC enrolled in Medicare?

Yes. Ypp New Modern Medicine PLLC is registered in the Medicare PECOS enrollment system.

When is Ypp New Modern Medicine PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ypp New Modern Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ypp New Modern Medicine PLLC, in Internal Medicine and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ypp New Modern Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2212059) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ypp New Modern Medicine PLLC was last updated on February 14, 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.