Organization Active NPI

Valentyn Tyulmenkov LLC

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1508131301
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME111260 Issued in FL
Legal business name
VALENTYN TYULMENKOV LLC
Practice address
7300 Del Prado Cir S
Boca Raton, FL 33433-3386
Phone
(561) 392-3000
NPI assigned
Mar 13, 2012
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Valentyn Tyulmenkov, M.D.NPI 1548269178
Title
President
Phone
(561) 302-9515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME111260 FL Primary

Addresses

Primary practice location

7300 Del Prado Cir S
Boca Raton, FL 33433-3386

Mailing address

263 NW 70TH St
Boca Raton, FL 33487-2392
Phone (561) 302-9515

Other identifiers 1

IdentifierTypeStateIssuer
004647400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1508131301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 NW 70TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872392",
            "telephone_number": "561-302-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DEL PRADO CIR S",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333386",
            "telephone_number": "561-392-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTYN TYULMENKOV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "TYULMENKOV",
        "authorized_official_first_name": "VALENTYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-302-9515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME111260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004647400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.