Active NPI
Ekaterina Kovtun, MD
- Developmental Therapist
- Brooklyn, NY
National Provider Identifier
1134836141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 2909434
- Practice address
- 1616 66TH St Apt 1
Brooklyn, NY 11204-4212 - Phone
- (646) 642-8728
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 2909434 | NY | Primary |
Addresses
Primary practice location
1616 66TH St Apt 1
Brooklyn, NY 11204-4212
Mailing address
1616 66TH St Apt 1
Brooklyn, NY 11204-4212
Phone (646) 642-8728
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2909434 | NY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1134836141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 66TH ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112044212",
"telephone_number": "646-642-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 66TH ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112044212",
"telephone_number": "646-642-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVTUN",
"first_name": "EKATERINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NY",
"license": "2909434",
"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 Oct 31, 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.