Lilit Vardina, PHYSICAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2665 Homecrest Ave Apt 3J
Brooklyn, NY 11235-4533

Phone

(347) 841-3408

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kel Healthcare Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1629892476
  Medicare reassignment NPD
• Ace Medical Care PC

  • Ophthalmology Physician
  • New York, NY
  • NPI 1013394360
  Medicare reassignment
• Brook Plaza Opthalmology Assoc PC

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1093939001
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1003692971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 HOMECREST AVE APT 3J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354533",
            "telephone_number": "347-841-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 HOMECREST AVE APT 3J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354533",
            "telephone_number": "347-841-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDINA",
        "first_name": "LILIT",
        "credential": "PHYSICAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepti Varathan
• Pietra Varbero, M.S., CCC-SLP
• Aram Vardanian, MD
• Lana Telman Vardanian, M.D.
• Susanna Vardanov, TSHH
• Vakhtang Vardoshvili
• Lenka Varekova
• Johanna Varela
• Pedro Alberto Varela, CASAC-T
• Theresa A Varela, PHD, NPP

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.