Individual provider Active NPI

Elina Taranovsky, MD

  • Developmental Therapist
  • Brooklyn, NY
National Provider Identifier
1144814195
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
2843091 Issued in NY
Practice address
2939 Avenue Y Apt 5G
Brooklyn, NY 11235-1662
Phone
(646) 402-4929
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 2843091 NY Primary

Addresses

Primary practice location

2939 Avenue Y Apt 5G
Brooklyn, NY 11235-1662

Mailing address

2939 Avenue Y Apt 5G
Brooklyn, NY 11235-1662
Phone (646) 402-4929

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.md.com/doctor/mayya-fasolya-do#review#offices#about Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
2843091NYMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Curious Kids Corp 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.

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1144814195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 AVENUE Y APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351662",
            "telephone_number": "646-402-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 AVENUE Y APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351662",
            "telephone_number": "646-402-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANOVSKY",
        "first_name": "ELINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": "2843091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.md.com/doctor/mayya-fasolya-do#review#offices#about",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2939 Avenue Y Apt 5G",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112351662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 21, 2021; 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.