Active NPI
Svetlana Khvatikova, MSED
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1063826550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 525 Neptune Ave #12B
Brooklyn, NY 11224 - Phone
- (347) 628-6971
- Fax
- (718) 646-8553
- NPI assigned
- Jun 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 798187131 | NY | |
| Specialist | 174400000X | 798319131 | NY | |
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
525 Neptune Ave #12B
Brooklyn, NY 11224
Mailing address
525 Neptune Avenue
Brooklyn, NY 11224
Phone (347) 628-6971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 798187131 | NY | MD | Specialist |
| 798319131 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svetlana Khvatikova Inc | Early Intervention Provider Agency | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1942074794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1063826550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 NEPTUNE AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11224",
"telephone_number": "347-628-6971",
"fax_number": "718-646-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 NEPTUNE AVE #12B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11224",
"telephone_number": "347-628-6971",
"fax_number": "718-646-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHVATIKOVA",
"first_name": "SVETLANA",
"name_prefix": "Ms.",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "798187131",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "798319131",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.