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EUGENE DYAKOVETSKY MD. LLC
NPI 1942460753
Clinic/Center - Medical Specialty in Southampton, PA

Active since June 16, 2008
201 LAKESIDE PARK, STE A, SOUTHAMPTON, PA 18966(215) 322-1058(215) 322-1059 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eugene Dyakovetsky Md. Llc NPPES

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

EUGENE DYAKOVETSKY MD. LLC (NPI 1942460753) is a healthcare organization registered as a medical specialty in Southampton, Pennsylvania and active in the NPI registry since June 2008. The organization lists Eugene Dyakovetsky, President, as its authorized official.

NPPES Registry Identity

NPI1942460753
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameEUGENE DYAKOVETSKY MD. LLC
Location Address201 LAKESIDE PARK, STE ASouthampton, PA 18966-4049
Mailing Address201 Lakeside Park, Ste ASouthampton, PA 18966-4049
Phone(215) 322-1058
Fax(215) 322-1059
Organization SubpartNo
Authorized OfficialEugene DyakovetskyPresident · (267) 471-0089
Enumeration DateJune 16, 2008
✔ NPI 1942460753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
201 LAKESIDE PARK, Southampton, PA 18966
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Other Identifiers 1

Medicare PIN040874

Other Providers at the Same Location NPPES 3

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

NATALIYA TOIB FNP-C
Nurse Practitioner (Family)
201 LAKESIDE PARK
SOUTHAMPTON, PA 18966
Bucks County (215) 322-1058
ALINA TSIRELSON LPC
Counselor (Professional)
201 LAKESIDE PARK
SOUTHAMPTON, PA 18966
Bucks County (267) 342-0010
IZABELLA DYAKOVETSKY MD, LLC
Clinic/Center
201 LAKESIDE PARK, STE B
SOUTHAMPTON, PA 18966
Bucks County (215) 322-9020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eugene Dyakovetsky MD. LLC's NPI number?

The NPI number for Eugene Dyakovetsky MD. LLC is 1942460753. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Eugene Dyakovetsky MD. LLC located?

Eugene Dyakovetsky MD. LLC is located at 201 Lakeside Park Ste A, Southampton, PA 18966. The listed phone number is (215) 322-1058.

What is Eugene Dyakovetsky MD. LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Eugene Dyakovetsky MD. LLC was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.