Individual provider Active NPI

Yuliya Eydelman

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1487086898
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
058348 Issued in NY
Practice address
3000 Ocean Pkwy Apt 9G
Brooklyn, NY 11235-8331
Phone
(646) 533-3443
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 058348 NY Primary

Addresses

Primary practice location

3000 Ocean Pkwy Apt 9G
Brooklyn, NY 11235-8331

Mailing address

3000 Ocean Pkwy Apt 9G
Brooklyn, NY 11235-8331
Phone (646) 533-3443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
058348NYMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1487086898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY APT 9G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358331",
            "telephone_number": "646-533-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY APT 9G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358331",
            "telephone_number": "646-533-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYDELMAN",
        "first_name": "YULIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058348",
            "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 Aug 8, 2013; 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.