Organization Active NPI

Lyudmila Cavalier Physician PC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1780895094
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LYUDMILA CAVALIER PHYSICIAN PC
Practice address
9014 Flatlands Ave
Brooklyn, NY 11236-3616
Phone
(718) 209-5353
Fax
(718) 209-1745
NPI assigned
May 25, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Lyudmila G Cavaliet, MD
Title
Director
Phone
(718) 209-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9014 Flatlands Ave
Brooklyn, NY 11236-3616

Mailing address

9014 Flatlands Ave
Brooklyn, NY 11236-3616
Phone (718) 209-5353

Other identifiers 1

IdentifierTypeStateIssuer
02496519MedicaidNY

National Provider Directory

National Provider Directory

Locations

9014 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 209-5353

11525 Metropolitan Ave
Richmond Hill, NY 11418
Phone (718) 441-2660

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1780895094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9014 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363616",
            "telephone_number": "718-209-5353",
            "fax_number": "718-209-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363616",
            "telephone_number": "718-209-5353",
            "fax_number": "718-209-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYUDMILA CAVALIER PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "CAVALIET",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-209-5353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02496519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.