Active NPI
Eli Sdayeb
- Pharmacist
- Flushing, NY
National Provider Identifier
1134584758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060966
- Practice address
- 6942 Main St
Flushing, NY 11367-1723 - Phone
- (718) 544-0700
- NPI assigned
- Dec 25, 2015
- Last updated
- Oct 5, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 060966 | NY | Primary |
Addresses
Primary practice location
6942 Main St
Flushing, NY 11367-1723
Mailing address
6942 Main St
Flushing, NY 11367-1723
Phone (718) 544-0700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060966 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Med LLC. | Current | Accepting new patients |
Locations
6942 Main St
Flushing, NY 11367
Phone (718) 544-0700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1134584758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6942 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671723",
"telephone_number": "718-544-0700",
"fax_number": "718-544-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6942 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671723",
"telephone_number": "718-544-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SDAYEB",
"first_name": "ELI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-25",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "060966",
"primary": true
}
],
"identifiers": [],
"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 Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.