Lilya Darevskaya, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

208922 Issued in NY

Practice address

7819 19TH Ave
Brooklyn, NY 11214-1203

Phone

(718) 236-7550

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lilyadarevskaya@mai.allscriptsdirect.net

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.

• L.Darevskaya Pediatric Center

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1184742835
  NPD (past) Authorized official
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689688012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141203",
            "telephone_number": "718-236-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141203",
            "telephone_number": "718-236-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAREVSKAYA",
        "first_name": "LILYA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "208922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01884293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rana Fikry Elsayed Dardier
• Julia Dardyk, PHARMD, RPH
• Titilayo Ifeoluwa Dare-Olipede, M.D.
• Samantha Dareff
• Darel Medical Group LLC
• Marlene Dargenson-Cesar
• Amall M Darhan
• Hanin Dari
• Eleonora Daribayeva
• Natacha Daring, M.S. SPECIAL EDUCAT

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.