Individual provider Active NPI

Luz Arminda Cervantes, MD

  • Psychiatry Physician
  • Holtsville, NY
National Provider Identifier
1962543991
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
247513 Issued in NY
Practice address
15 Woodbrook Cir
Holtsville, NY 11742-2423
Phone
(631) 730-1995
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 247513 NY Primary

Addresses

Primary practice location

15 Woodbrook Cir
Holtsville, NY 11742-2423

Mailing address

15 Woodbrook Cir
Holtsville, NY 11742-2423
Phone (631) 730-1995

Other names 1

  • Dr. Luz Arminda Yanayaco Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090225000174 NY Practitioner - Psychiatry 9739244823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
247513NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
L&L Cervantes Medical PC CurrentSince Apr 2, 2008 Accepting new patients

Locations

10850 62nd Dr
Ste La
Forest Hills, NY 11375
Phone (718) 830-6333

4322 50th St
Ste 2C
Woodside, NY 11377
Phone (619) 703-6646

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1962543991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WOODBROOK CIR",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422423",
            "telephone_number": "631-730-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WOODBROOK CIR",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422423",
            "telephone_number": "631-730-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "LUZ",
        "middle_name": "ARMINDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "247513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "YANAYACO",
            "middle_name": "ARMINDA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holtsville, NY

Sources for this page

Verify at the official NPI Registry.