Individual provider Active NPI

Jeryl Lehmuller, B.S.E.D

  • Specialist
  • Locust Valley, NY
National Provider Identifier
1700122876
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
607232121 Issued in NY
Practice address
99 Ayers Rd
Locust Valley, NY 11560-2305
Phone
(516) 680-4379
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 607232121 NY Primary

Addresses

Primary practice location

99 Ayers Rd
Locust Valley, NY 11560-2305

Mailing address

99 Ayers Rd
Locust Valley, NY 11560-2305
Phone (516) 680-4379

Other identifiers 1

IdentifierTypeStateIssuer
GQED28CGOtherNY47 HUMPHREY DRIVE SYOSSET, NY 11791

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

LicenseStateTypeSpecialty
607232121NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1700122876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 AYERS RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602305",
            "telephone_number": "516-680-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 AYERS RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602305",
            "telephone_number": "516-680-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMULLER",
        "first_name": "JERYL",
        "name_prefix": "Ms.",
        "credential": "B.S.E.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "607232121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "47 HUMPHREY DRIVE SYOSSET, NY 11791",
            "identifier": "GQED28CG",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.