Active NPI
Evelyn Llanos MD PC
- Family Medicine Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2381051
- Legal business name
- EVELYN LLANOS MD PC
- Practice address
- 19 Southdown Rd
Suite 16
Huntington, NY 11743-2538 - Phone
- (631) 470-2572
- Fax
- (631) 385-1748
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evelyn Llanos, MD
- Title
- President
- Phone
- (631) 470-2572
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2381051 | NY | Primary |
Addresses
Primary practice location
19 Southdown Rd
Suite 16
Huntington, NY 11743-2538
Mailing address
19 Southdown Rd
Huntington, NY 11743-2538
Phone (631) 470-2572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02729913 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1057944 | Evelyn Llanos MD | Certificate of waiver | Aug 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
19 Southdown Rd
Huntington, NY 11743
Phone (631) 470-2572
19 Southdown Rd
Ste 16
Huntington, NY 11743
Phone (631) 470-2572
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Huntington, NY
- NPI 1760455497
-
- Family Nurse Practitioner
- Kew Gardens, NY
- NPI 1962221481
-
- Endocrinology, Diabetes & Metabolism Physician
- Valhalla, NY
- NPI 1538308069
-
- Primary Care Nurse Practitioner
- Huntington, NY
- NPI 1386527265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1841319258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SOUTHDOWN RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432538",
"telephone_number": "631-470-2572",
"fax_number": "631-385-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SOUTHDOWN RD",
"address_2": "SUITE 16",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432538",
"telephone_number": "631-470-2572",
"fax_number": "631-385-1748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVELYN LLANOS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "LLANOS",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-470-2572",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "2381051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02729913",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.