Individual provider Active NPI

Edmund Vytenis Cyvas, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1417092610
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
153952 Issued in NY
Practice address
18 E. 16TH St.
Suite 503
New York, NY 10003-3111
Phone
(718) 875-3155
Fax
(718) 859-5708
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 153952 NY Primary
Child & Adolescent Psychiatry Physician 2084P0804X 153952 NY

Addresses

Primary practice location

18 E. 16TH St.
Suite 503
New York, NY 10003-3111

Mailing address

482 Henry St.
#4
Brooklyn, NY 11231-3098
Phone (718) 875-3155

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403001310 NY Practitioner - Psychiatry 2567747645 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wright State University Boonshoft School of Medicine, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 E 16TH St
RM 503
New York, NY 10003-3111
Phone (718) 875-3155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153952NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miriam Stempler Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1417092610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 HENRY ST.",
            "address_2": "#4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313098",
            "telephone_number": "718-875-3155",
            "fax_number": "718-859-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E. 16TH ST.",
            "address_2": "SUITE 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033111",
            "telephone_number": "718-875-3155",
            "fax_number": "718-859-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYVAS",
        "first_name": "EDMUND",
        "middle_name": "VYTENIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "153952",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "153952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.