Active NPI
Lyudmila Trubetsky, RPA-C
- Surgical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1659706570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 009180
- Practice address
- 2942 W 5TH St
Apt. 7T
Brooklyn, NY 11224-3834 - Phone
- (646) 546-3045
- Fax
- (718) 946-0522
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 009180 | NY | Primary |
Addresses
Primary practice location
2942 W 5TH St
Apt. 7T
Brooklyn, NY 11224-3834
Mailing address
2942 W 5TH St
Apt. 7T
Brooklyn, NY 11224-3834
Phone (646) 546-3045
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009180 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suny Downstate Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1659706570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2942 W 5TH ST",
"address_2": "APT. 7T",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112243834",
"telephone_number": "646-546-3045",
"fax_number": "718-946-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2942 W 5TH ST",
"address_2": "APT. 7T",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112243834",
"telephone_number": "646-546-3045",
"fax_number": "718-946-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUBETSKY",
"first_name": "LYUDMILA",
"name_prefix": "Mrs.",
"credential": "RPA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "009180",
"primary": true
}
],
"identifiers": [],
"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 Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.