Individual provider Active NPI

Lyudmila Oslon, M.D.

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1063458057
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
207223 Issued in NY
Practice address
15028 Union Tpke
Suite 500
Flushing, NY 11367-3928
Phone
(718) 969-4357
Fax
(718) 969-4345
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 207223 NY Primary

Addresses

Primary practice location

15028 Union Tpke
Suite 500
Flushing, NY 11367-3928

Mailing address

15028 Union Tpke
Suite 500
Flushing, NY 11367-3928
Phone (718) 969-4357

Other identifiers 1

IdentifierTypeStateIssuer
01793186MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207223NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lyudmila Oslon Pediatrics P.C. Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCFBA/Endpoint/BFCFBA

Organizations & group practices 1

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1063458057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15028 UNION TPKE",
            "address_2": "SUITE 500",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673928",
            "telephone_number": "718-969-4357",
            "fax_number": "718-969-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15028 UNION TPKE",
            "address_2": "SUITE 500",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673928",
            "telephone_number": "718-969-4357",
            "fax_number": "718-969-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSLON",
        "first_name": "LYUDMILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "207223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.