Individual provider Active NPI

Yuliya Laviska, RN

  • Registered Nurse
  • Syracuse, NY
National Provider Identifier
1649088352
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
827183-01 Issued in NY
Practice address
1011 W Genesee St Ste 3
Syracuse, NY 13204-2329
Phone
(315) 476-0600
NPI assigned
Dec 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 827183-01 NY Primary

Addresses

Primary practice location

1011 W Genesee St Ste 3
Syracuse, NY 13204-2329

Mailing address

385 Bull Creek Rd
Whitney Point, NY 13862-2525
Phone (904) 697-9763

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
827183-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim of New York, LLC CurrentSince Dec 29, 2024 Accepting new patients
Maxim of New York, LLC PastSince Dec 29, 2024 Accepting new patients

Locations

1011 W Genesee St
Ste 3
Syracuse, NY 13204
Phone (315) 467-0600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1649088352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BULL CREEK RD",
            "city": "WHITNEY POINT",
            "state": "NY",
            "postal_code": "138622525",
            "telephone_number": "904-697-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W GENESEE ST STE 3",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042329",
            "telephone_number": "315-476-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVISKA",
        "first_name": "YULIYA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "827183-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.