NPIMap

Organization Active NPI

Larisa Veksman D.O P.C

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1942465091
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
223381 Issued in NY
Legal business name
LARISA VEKSMAN D.O P.C
Practice address
162 Brighton 11TH St
1St Floor
Brooklyn, NY 11235-5327
Phone
(718) 891-8822
Fax
(718) 891-8823
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Larisa Veksman, D.ONPI 1003843061
Title
Owner
Phone
(718) 891-8822

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 223381 NY Primary

Addresses

Primary practice location

162 Brighton 11TH St
1St Floor
Brooklyn, NY 11235-5327

Mailing address

21 Goodall St
Staten Island, NY 10308-3325
Phone (718) 891-8822

Other identifiers 1

IdentifierTypeStateIssuer
223381OtherNYLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1942465091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GOODALL ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083325",
            "telephone_number": "718-891-8822",
            "fax_number": "718-891-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 BRIGHTON 11TH ST",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355327",
            "telephone_number": "718-891-8822",
            "fax_number": "718-891-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISA VEKSMAN D.O P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "VEKSMAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-891-8822",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "223381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "223381",
            "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 Jul 28, 2008; 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.