Individual provider Active NPI

Cirilo Agustin Umayan Jr., FNP

  • Family Nurse Practitioner
  • Oceanside, NY
National Provider Identifier
1679389308
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354639 Issued in NY
Practice address
2325 Westlake CT
Oceanside, NY 11572-1415
Phone
(646) 220-1638
NPI assigned
Dec 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354639 NY Primary

Addresses

Primary practice location

2325 Westlake CT
Oceanside, NY 11572-1415

Mailing address

2325 Westlake CT
Oceanside, NY 11572-1415
Phone (646) 220-1638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000885 NY Practitioner - Nurse Practitioner 4880197565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2325 Westlake CT
Oceanside, NY 11572-1415

2952 Brighton 3Rd St
Suite 201
Brooklyn, NY 11235-6897

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354639NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jul 4, 2025 Accepting new patients
Cirilo Umayan Rnfa FNP LTD Family CurrentSince Feb 9, 2025 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

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": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1679389308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 WESTLAKE CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721415",
            "telephone_number": "646-220-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 WESTLAKE CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721415",
            "telephone_number": "646-220-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAYAN",
        "first_name": "CIRILO",
        "middle_name": "AGUSTIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-07",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.