Organization Active NPI

Ly Imaging Wave Inc.

  • Diagnostic Ultrasound Physician
  • Brooklyn, NY
National Provider Identifier
1346705480
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
LY IMAGING WAVE INC.
Practice address
2615 E 6TH St
Brooklyn, NY 11235-6208
Phone
(646) 283-7150
NPI assigned
Feb 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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

Authorized official

Name
Lyudmila Yalkanovich, RDMS
Title
Ceo
Phone
(646) 283-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

2615 E 6TH St
Brooklyn, NY 11235-6208

Mailing address

3567 Shore Pkwy Ste 4
Brooklyn, NY 11235-2668

National Provider Directory

National Provider Directory

Locations

2615 E 6th St
Brooklyn, NY 11235
Phone (646) 283-7150

NPI Registry JSON

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549152000000",
    "number": "1346705480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3567 SHORE PKWY STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356208",
            "telephone_number": "646-283-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LY IMAGING WAVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A",
        "authorized_official_last_name": "YALKANOVICH",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-283-7150",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; 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.