Individual provider Active NPI

Chava Yankelewitz

  • Specialist
  • Kew Gardens, NY
National Provider Identifier
1164856324
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
847333273 Issued in NY
Practice address
8321 124TH PL
Kew Gardens, NY 11415-2703
Phone
(718) 846-3472
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 847333273 NY Primary

Addresses

Primary practice location

8321 124TH PL
Kew Gardens, NY 11415-2703

Mailing address

8321 124TH PL
Kew Gardens, NY 11415-2703
Phone (718) 846-3472

Other identifiers 1

IdentifierTypeStateIssuer
1114495OtherNYTEACHER CERTIFICATION NUMBER

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
847333273NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1164856324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 124TH PL",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152703",
            "telephone_number": "718-846-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 124TH PL",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152703",
            "telephone_number": "718-846-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKELEWITZ",
        "first_name": "CHAVA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "847333273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHER CERTIFICATION NUMBER",
            "identifier": "1114495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.