NPIMap

Organization Active NPI

Iak Speech Therapy PC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1083981674
Registry record updated Nov 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
014692 Issued in NY
Legal business name
IAK SPEECH THERAPY PC
Practice address
30 Kansas PL
Brooklyn, NY 11234-6909
Phone
(917) 541-0110
NPI assigned
Nov 26, 2011
Last updated
Nov 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2011

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

Authorized official

Name
Mrs. Irena Avrutin-Khotylev, MS,CCC-SLPNPI 1609010560
Title
President
Phone
(917) 541-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 014692 NY Primary

Addresses

Primary practice location

30 Kansas PL
Brooklyn, NY 11234-6909

Mailing address

30 Kansas PL
Brooklyn, NY 11234-6909
Phone (917) 541-0110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1322265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322265600000",
    "number": "1083981674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KANSAS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346909",
            "telephone_number": "917-541-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KANSAS PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346909",
            "telephone_number": "917-541-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAK SPEECH THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-26",
        "last_updated": "2011-11-26",
        "status": "A",
        "authorized_official_last_name": "AVRUTIN-KHOTYLEV",
        "authorized_official_first_name": "IRENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-541-0110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "014692",
            "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 Nov 26, 2011; 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.