Active NPI
Ayuda Medical, PLLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lynbrook, NY
National Provider Identifier
1033508205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 212942
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 212942 | NY | Primary |
| Infectious Disease Physician | 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 DirectoryLocations
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.