Active NPI
Lyudmila Valdman, MD
- Pediatrics Physician
- East Northport, NY
National Provider Identifier
1528047719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 167985-1
- Practice address
- 554 Larkfield Rd
Ste 203
East Northport, NY 11731-4205 - Phone
- (631) 266-6870
- Fax
- (631) 266-2548
- NPI assigned
- Jan 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 167985-1 | NY | Primary |
Addresses
Primary practice location
554 Larkfield Rd
Ste 203
East Northport, NY 11731-4205
Mailing address
22 Lucille LN
Dix Hills, NY 11746-5810
Phone (631) 423-9883
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11326 | Other | NY | VYTRA HEALTH PLANS |
| 0000020 | Other | NY | GHI |
| 83D413 | Other | NY | BLUE CROSS & BLUE SHIELD |
| P1677038 | Other | NY | OXFORD HEALTH PLANS |
| 00975764 | Medicaid | NY | |
| 045033 | Other | NY | AETNA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167985-1 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528047719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 LUCILLE LN",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465810",
"telephone_number": "631-423-9883",
"fax_number": "631-423-9883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 LARKFIELD RD",
"address_2": "STE 203",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314205",
"telephone_number": "631-266-6870",
"fax_number": "631-266-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDMAN",
"first_name": "LYUDMILA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "167985-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA HEALTH PLANS",
"identifier": "11326",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0000020",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "83D413",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P1677038",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00975764",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "045033",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.