VICTORIA LY MD
NPI 1104445733
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is Victoria Ly's NPI number?

The NPI number for Victoria Ly is 1104445733. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Victoria Ly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Ly was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2020PECOS Enrolled

5 E 98TH ST FL 2, NEW YORK, NY 10029(212) 241-6551 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, Apr 18, 2020 (2 updates tracked since 2020).

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About Victoria Ly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA LY MD (NPI 1104445733) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1104445733

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameVICTORIA LYCredential: MD

Location Address5 E 98TH ST FL 2New York, NY 10029-6501

Mailing Address5 E 98th St Fl 2New York, NY 10029-6501 · (212) 241-6551

Phone(212) 241-6551

Sole ProprietorNo

Enumeration DateApril 14, 2020

Last NPPES UpdateMay 29, 20252 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1104445733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 E 98TH ST FL 2, New York, NY 10029

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Secondary Practice Location 1

Location 11176 5th AveNew York, NY 10029-6503 · Phone (212) 241-6298

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Ly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA ANN DEBOLT MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)