Active NPI
Lyndon Hemedes
- Physical Therapist
- Long Island City, NY
National Provider Identifier
1760769905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028018
- Practice address
- 3310 Queens Blvd
301
Long Island City, NY 11101-2302 - Phone
- (718) 593-4121
- NPI assigned
- Nov 15, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028018 | NY | Primary |
Addresses
Primary practice location
3310 Queens Blvd
301
Long Island City, NY 11101-2302
Mailing address
3310 Queens Blvd
301
Long Island City, NY 11101-2302
Phone (718) 593-4121
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 |
|---|---|---|---|
| 028018 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1760769905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 QUEENS BLVD",
"address_2": "301",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012302",
"telephone_number": "718-593-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 QUEENS BLVD",
"address_2": "301",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012302",
"telephone_number": "718-593-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMEDES",
"first_name": "LYNDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.