Organization Active NPI

Llewellyn Hyacinthe MD PC

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1609044544
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
180086 Issued in NY
Legal business name
LLEWELLYN HYACINTHE MD PC
Practice address
60 Plaza St E
St 1L
Brooklyn, NY 11238-5040
Phone
(718) 638-9222
Fax
(718) 857-1714
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Llewellyn Marc Hyacinthe, MD
Title
President
Phone
(718) 638-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 180086 NY Primary

Addresses

Primary practice location

60 Plaza St E
St 1L
Brooklyn, NY 11238-5040

Mailing address

60 Plaza St E
St 1L
Brooklyn, NY 11238-5040
Phone (718) 638-9222

Other identifiers 2

IdentifierTypeStateIssuer
01424322MedicaidNY
4S2611OtherNYEMPIRE BLUE CROSS

National Provider Directory

National Provider Directory

Locations

60 Plaza St E
Ste 1L
Brooklyn, NY 11238
Phone (347) 564-3211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1609044544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLAZA ST E",
            "address_2": "ST 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385040",
            "telephone_number": "718-638-9222",
            "fax_number": "718-857-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PLAZA ST E",
            "address_2": "ST 1L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385040",
            "telephone_number": "718-638-9222",
            "fax_number": "718-857-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLEWELLYN HYACINTHE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "HYACINTHE",
        "authorized_official_first_name": "LLEWELLYN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-638-9222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "180086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01424322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "4S2611",
            "state": "NY"
        }
    ],
    "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 Jan 13, 2015; 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.