Anatoliy Yevdayev

Primary specialty

DriverTaxonomy code 172A00000X

License

477302849 Issued in NY

Practice address

2284 E 28TH St FL 2
Brooklyn, NY 11229-5058

Phone

(917) 553-7360

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Friendly Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1134773427
  NPD Authorized official

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1962055442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 E 28TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295058",
            "telephone_number": "917-553-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 E 28TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295058",
            "telephone_number": "917-553-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEVDAYEV",
        "first_name": "ANATOLIY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NY",
            "license": "477302849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tin Yan Yeung, LCSW
• Vincent Yeung
• Yvonne Yeung, FNP
• Yeung'S Family Dental Care, PLLC
• Daniela Yevdaev
• Shimon Yevdayev, LMT
• Shushanna Yevdayev, RPH
• Elvira Yevdayeva, NP
• Irina Yevdayeva
• Jessica Yevdayeva

• All providers in Brooklyn, NY
• Driver in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.