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DR. ILYA ELLIOT VAYNER M.D. NPI 1134221484


NPI Information

NPI: 1134221484
Provider Name: DR. ILYA ELLIOT VAYNER, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 33D1021087

Address:
3767 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10312
Phone: (718) 966-5777
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DR. Ilya Elliot Vayner, M.D. is a pediatrics in Staten Island, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Ilya Elliot Vayner, M.D. NPI is 1134221484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3767 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10312-827
Phone: (718) 966-5777
Fax: (718) 605-3183

The CLIA number assigned to this NPI record is 33D1021087 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 8/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics224033NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102386987MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.