Individual provider Active NPI

Irina Yulis, SP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1033360664
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018027-1 Issued in NY
Practice address
260 W 52ND St
Apt 24D
New York, NY 10019-5850
Phone
(917) 903-3136
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00564400 NJ
Speech-Language Pathologist 235Z00000X 018027-1 NY Primary

Addresses

Primary practice location

260 W 52ND St
Apt 24D
New York, NY 10019-5850

Mailing address

260 W 52ND St
Apt 24D
New York, NY 10019-5850
Phone (917) 903-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000000 NY Practitioner - Qualified Speech Language Pathologist 5991857781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2324 Forest Ave
Staten Island, NY 10303-1506
Phone (718) 447-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018027-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Assoc of Nys Inc Current Accepting new patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
Superior Clinical Care PLLC CurrentSince Jun 1, 2021 Accepting new patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Jun 1, 2021 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Mar 20, 2017 Accepting new patients
Ivyrehab Network Inc. Speech-Language Pathologist Past Accepting new patients
Accent on Hands, LLC PastSince Nov 22, 2004 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

921 E New York Ave
Brooklyn, NY 11203
Phone (718) 778-0485

921 E New York Ave
#C
Brooklyn, NY 11203
Phone (718) 778-8587

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

330 W 34th St
Fl 15
New York, NY 10001

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

6135 220th St
Oakland Gardens, NY 11364
Phone (646) 518-7584

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

Organizations & group practices 8

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1033360664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W 52ND ST",
            "address_2": "APT 24D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195850",
            "telephone_number": "917-903-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W 52ND ST",
            "address_2": "APT 24D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195850",
            "telephone_number": "917-903-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YULIS",
        "first_name": "IRINA",
        "credential": "SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00564400",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018027-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.