A MERRYLAND HEALTH CENTER – NPI #1972848307
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Health Care Provider Taxonomy Code for Family Medicine

A MERRYLAND HEALTH CENTER is a provider located in BROOKLYN, NY. NPPES has assigned the NPI number 1972848307 to A MERRYLAND HEALTH CENTER on December 12, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “A MERRYLAND HEALTH CENTER” is a dba name, the actual legal business name for this organization is A MERRYLAND OPERATING LLC. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 5 years ago on Jun 22, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for A MERRYLAND HEALTH CENTER below.

NPI Profile for
A MERRYLAND OPERATING LLC

NPI Number
1972848307
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
A MERRYLAND OPERATING LLC
Doing Business As (dba): A MERRYLAND HEALTH CENTER
Primary location
2873 W 17TH ST FL 2
BROOKLYN, NY 11224-2611
Phone: (718) 265-0900 Fax: (718) 360-2279
1 Other location(s):
1704-06 MERMAID AVE
BROOKLYN, NY 11224-2622
Phone: (718) 265-0900
Fax: (718) 360-2279
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LIDIYA LESHCHINSKIY
OWNER
Phone: (718) 265-0900
Updated
Certification Date
Jun 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for A MERRYLAND HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROPERATING CERTIFICATENY7001134R
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)		 NY 097912

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.