Dyckman Medical Services PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DYCKMAN MEDICAL SERVICES PC

Practice address

257-10 Union Turnkpike
Floral Park, NY 11004

Phone

(646) 428-4270

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ilya Smuglin, MD.,DO

Title

Owner

Phone

(646) 428-4270

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1497029375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257-10 UNION TURNKPIKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "646-428-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257-10 UNION TURNKPIKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "646-428-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCKMAN MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "SMUGLIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-428-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD.,DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "221943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Donovan, MS-SLP CCC TSHH
• Niyati Anuj Doshi, PHARMD
• Dr Steven Yale Norman & Dr Mark Jason Aronson LLP
• Dr.Nina S. Patel DDS., P.C.
• Jean Louis Max Dupiton, MD
• Christina Eagle, LMHC, LPC, NCC
• Early Success Inc.
• Early Success, Inc.
• Deborah Ecker
• Taylor Ann Eckhaus, MSW

• Family Medicine Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.