Individual provider Active NPI

Darius II Lazaro Opada

  • Psychiatric/Mental Health Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1811613433
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406781 Issued in NY
Practice address
45 Ludlow St Ste 402
Yonkers, NY 10705-1949
Phone
(347) 667-7924
Fax
(332) 262-2396
NPI assigned
Oct 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN291021 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406781 NY Primary

Addresses

Primary practice location

45 Ludlow St Ste 402
Yonkers, NY 10705-1949

Mailing address

417 Foothills Pkwy NE # 417
Gainesville, GA 30501-3840
Phone (615) 594-6940

Other practice location 1

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone (678) 209-2394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112002340 NY Practitioner - Nurse Practitioner 5193216661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians

Practice addresses (Care Compare)

955 Yonkers Ave
Suite 102
Yonkers, NY 10704-3062
Phone (347) 667-7924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN291021GAMDPsychiatric/Mental Health Registered Nurse
406781NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sehwan Medical Care PLLC CurrentSince Sep 4, 2025 Accepting new patients

Locations

831 Bedford Ave
Brooklyn, NY 11205

955 Yonkers Ave
Ste 102
Yonkers, NY 10704
Phone (914) 237-2201

45 Ludlow St
Ste 402
Yonkers, NY 10705
Phone (914) 570-9000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1811613433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FOOTHILLS PKWY NE # 417",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013840",
            "telephone_number": "615-594-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST STE 402",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051949",
            "telephone_number": "347-667-7924",
            "fax_number": "332-262-2396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Gwinnett Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468444",
            "country_code": "US",
            "telephone_number": "678-209-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPADA",
        "first_name": "DARIUS II",
        "middle_name": "LAZARO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN291021",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.