Active NPI
Lyudmyla Demyan
- Student in an Organized Health Care Education/Training Program
- New Hyde Park, NY
National Provider Identifier
1205326170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 27005 76TH Ave
New Hyde Park, NY 11040-1402 - Phone
- (718) 470-4475
- NPI assigned
- May 15, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | Primary |
Addresses
Primary practice location
27005 76TH Ave
New Hyde Park, NY 11040-1402
Mailing address
1998 Clark Tunnel Rd
Penryn, CA 95663-9649
Phone (916) 521-1386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181129000366 | NY | Order and Referring Only - General Surgery | 9931443165 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1205326170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1998 CLARK TUNNEL RD",
"city": "PENRYN",
"state": "CA",
"postal_code": "956639649",
"telephone_number": "916-521-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "718-470-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMYAN",
"first_name": "LYUDMYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.