Individual provider Active NPI

Yuliana Krutoy, SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1073821732
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1520 E 13TH St
Brooklyn, NY 11230-7106
Phone
(718) 382-1060
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 021049-01 NY
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1520 E 13TH St
Brooklyn, NY 11230-7106

Mailing address

1820 Avenue N Apt 6C
Brooklyn, NY 11230-6169
Phone (917) 609-4549

Other names 1

  • Yuliana Avshalumov Former name

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

LicenseStateTypeSpecialty
021049-01NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York League for Early Learning Past 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1073821732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 AVENUE N APT 6C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306169",
            "telephone_number": "917-609-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307106",
            "telephone_number": "718-382-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTOY",
        "first_name": "YULIANA",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021049-01",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YULIANA",
            "last_name": "AVSHALUMOV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.