Individual provider Active NPI

Evan Mark Ludin, MS OTRL CHT

  • Specialist
  • Commack, NY
National Provider Identifier
1043436710
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
009005-1 Issued in NY
Practice address
8 Elder Dr
Commack, NY 11725-2320
Phone
(516) 650-3555
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 009005-1 NY Primary

Addresses

Primary practice location

8 Elder Dr
Commack, NY 11725-2320

Mailing address

8 Elder Dr
Commack, NY 11725-2320
Phone (516) 650-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110329000666 NY Practitioner - Occupational Therapist in Private Practice 1254514235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, 497 clinicians

Practice addresses (Care Compare)

123 Grove Ave
Cedarhurst, NY 11516-2322
Phone (516) 374-4248

800 Veterans Memorial Hwy
Hauppauge, NY 11788-2948
Phone 6316767304631676

971 F Main St
FL 1
Holbrook, NY 11741-1605
Phone (631) 590-3868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009005-1NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC CurrentSince May 1, 2017 Accepting new patients
Professional Occupational & Physical Therapy, PLLC CurrentSince May 1, 2017 Accepting new patients
Hand&Occupational Therapy,PC Past Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

576 Broadhollow Rd
Melville, NY 11747

70 N Country Rd
Ste 103
Prt Jefferson, NY 11777
Phone (631) 331-3608

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1043436710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ELDER DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252320",
            "telephone_number": "516-650-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ELDER DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252320",
            "telephone_number": "516-650-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDIN",
        "first_name": "EVAN",
        "middle_name": "MARK",
        "credential": "MS  OTRL CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "009005-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.