Organization Active NPI

Napa

  • Anesthesiology Physician
  • Roslyn Heights, NY
National Provider Identifier
1760629067
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
235991 Issued in NY
Legal business name
NAPA
Practice address
66 Powerhouse Rd
Roslyn Heights, NY 11577-1372
Phone
(718) 357-0777
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Lyudmila Kholdarova, MD
Title
Anesthesiologist
Phone
(718) 357-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 235991 NY Primary

Addresses

Primary practice location

66 Powerhouse Rd
Roslyn Heights, NY 11577-1372

Mailing address

5833 190TH St
Fresh Meadows, NY 11365-2235

National Provider Directory

National Provider Directory

Locations

66 Powerhouse Rd
Roslyn Hts, NY 11577
Phone (718) 357-0777

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1760629067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 190TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 POWERHOUSE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771372",
            "telephone_number": "718-357-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "KHOLDAROVA",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "718-357-0777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "235991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.