Organization Active NPI

Ayuda Medical, PLLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lynbrook, NY
National Provider Identifier
1033508205
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
212942 Issued in NY
Legal business name
AYUDA MEDICAL, PLLC
Practice address
54 Sunrise Dr
Lynbrook, NY 11563-2920
Phone
(516) 236-4582
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Pavel G Shulman, MD
Title
MD
Phone
(917) 826-6551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X 212942 NY Primary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X

Addresses

Primary practice location

54 Sunrise Dr
Lynbrook, NY 11563-2920

Mailing address

54 Sunrise Dr
Lynbrook, NY 11563-2920

National Provider Directory

National Provider Directory

Locations

312 Neptune Ave
Ste 1
Brooklyn, NY 11235
Phone (718) 934-7593

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1033508205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUNRISE DR",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNRISE DR",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632920",
            "telephone_number": "516-236-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYUDA MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-826-6551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "212942",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.