David Meryash, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

180797 Issued in NY

Practice address

Lij Developmental & Behav. Ped
1983 Marcus Avenue
Lake Success, NY 11042

Phone

(516) 802-6100

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366512410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIJ DEVELOPMENTAL & BEHAV. PED",
            "address_2": "1983 MARCUS AVENUE",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-802-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIJ DEVELOPMENTAL & BEHAV. PED",
            "address_2": "1983 MARCUS AVENUE",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-802-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERYASH",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": "180797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ummekalsoom Rahman Malik, MD
• Al'Tiana Manning, OD
• Marc a. Brenner, D.P.M., PLLC
• Sarah McElroy, LMSW
• Allison Bauman Mekhoubad, DO
• Sanford A Meyersfield, MD
• Perry J Milman, MD
• Mimi G Bansal, MD
• Judy Mittleman, M.D.
• Joan B Monaghan, PT

• Developmental - Behavioral Pediatrics Physician in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Developmental - Behavioral Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.