Active NPI
Alina Nudelman, M.A. SP ED
- Specialist
- Brooklyn, NY
National Provider Identifier
1114379666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2641969
- Practice address
- 1580 Dahill Rd
Brooklyn, NY 11204-3573 - Phone
- (917) 574-3238
- NPI assigned
- Jul 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Specialist | 174400000X | 2641969 | NY | Primary |
Addresses
Primary practice location
1580 Dahill Rd
Brooklyn, NY 11204-3573
Mailing address
1580 Dahill Rd
Brooklyn, NY 11204-3573
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2641969 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiring Minds DC LLC | Current | Accepting new patients | |
| Prospect Kids, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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 1831888692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1114379666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 DAHILL RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 DAHILL RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043573",
"telephone_number": "917-574-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUDELMAN",
"first_name": "ALINA",
"credential": "M.A. SP ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-08",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2641969",
"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 Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.