Lyudmila Magakyan-Martinez, NP

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

338629 Issued in NY

Practice address

77 Park Ave
New York, NY 10016-2556

Phone

(212) 826-6999

NPI assigned

Mar 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dmitry Khasak MD PC IncGroup PAC ID 7911153572, 3 clinicians

Dmitry Khasak MD PCGroup PAC ID 9335395821, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dmitry Khasak MD PC

  • Dermatology Physician
  • New York, NY
  • NPI 1649531450
  Medicare reassignment Care Compare group NPD
• Dmitry Khasak MD PC Inc

  • Dermatology Physician
  • Jersey City, NJ
  • NPI 1679835946
  Medicare reassignment Care Compare group NPD
• Better Skin Dermatology, LLC

  • Specialist
  • Jersey City, NJ
  • NPI 1437214210
  NPD (past)

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1255757134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 VENTURA CT",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573051",
            "telephone_number": "646-479-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162556",
            "telephone_number": "212-826-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAKYAN-MARTINEZ",
        "first_name": "LYUDMILA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "338629",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "338629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Maffei, LMHC-LP
• Patrick Maffucci, MD, PHD
• Negar Mafi, MD
• Tyler Mafi, LMHC
• Nikka Magahis
• Jessica Magaldi
• Nicole M Magaldi, MS, CCC-SLP
• Jarron Magallanes, BCD, LCSW, ACSW
• Maria Magallanes
• Timothy John Magalona, CRNA, DNP

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.
• 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.