Active NPI
Eden Llamas, M.D.
- Specialist
- Teaneck, NJ
National Provider Identifier
1093801672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 718 Teaneck Road
Teaneck, NJ 07666 - Phone
- (201) 833-3090
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
718 Teaneck Road
Teaneck, NJ 07666
Mailing address
718 Teaneck Road
Teaneck, NJ 07666
Phone (201) 833-3090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02947717 | Medicaid | NY | |
| 8580901 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian-Queens | Past | Accepting new patients | |
| Newyork-Presbyterian/Queens | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1689958779
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1013960962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1093801672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 TEANECK ROAD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-833-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 TEANECK ROAD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-833-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLAMAS",
"first_name": "EDEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02947717",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8580901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.