Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Yadira Pena, PA-C

Individual provider Physician Assistant · NPI 1093067514

Yadira Pena, PA-C is a Physician Assistant in Babylon, New York. Qualified in 2012, 14 years ago. Practices with Modern Spine and Pain PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 W Main St Ste 116
Babylon, NY 11702
Phone: (631) 422-6166
Fax: (631) 422-6266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 157231 (NY)

Record details

NPI number1093067514
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2012
Last updated in NPPESNovember 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Modern Spine And Pain Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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