Active NPI
Alina Vaysburd
- Specialist
- Mohegan Lake, NY
National Provider Identifier
1699140913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2575558
- Practice address
- 2724 Deer St
Mohegan Lake, NY 10547-2018 - Phone
- (347) 605-9048
- NPI assigned
- Dec 11, 2015
- Last updated
- Jan 25, 2016
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2575558 | NY | Primary |
Addresses
Primary practice location
2724 Deer St
Mohegan Lake, NY 10547-2018
Mailing address
2724 Deer St
Mohegan Lake, NY 10547-2018
Phone (347) 605-9048
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2575558 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1699140913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 DEER ST",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105472018",
"telephone_number": "347-605-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2724 DEER ST",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105472018",
"telephone_number": "347-605-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAYSBURD",
"first_name": "ALINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-11",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2575558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mohegan Lake, NY
- Emily Marie Trapani, CF-SLP, TSSLD
- Treetops Rehabilitation & Care Center LLC (North Westchester Restorative Therapy & Nursing Center)
- Treetops Rehabilitation and Care Center
- Melanie Truitt, LMT
- Suan J Valenzuela, AGNP
- Ana M Vazquez, MS, OTR/L
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2531)
- Wal-Mart Stores East, LP (Vision Center 30-2531)
- Walmart Vision Center
- Whole Health Fertility
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.