Individual provider Active NPI

Yelena Genzer, M.S.E.D.

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1194087809
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1114533 Issued in NY
Practice address
1801 Avenue N
Suite 3B
Brooklyn, NY 11230
Phone
(646) 331-0246
NPI assigned
Jun 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1114533 NY Primary

Addresses

Primary practice location

1801 Avenue N
Suite 3B
Brooklyn, NY 11230

Mailing address

1801 Avenue N
3B
Brooklyn, NY 11230-6102
Phone (718) 382-5824

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
1114533NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Lena & Kids Inc. Early Intervention Provider Agency Past 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": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1194087809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AVENUE N",
            "address_2": "3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306102",
            "telephone_number": "718-382-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVENUE N",
            "address_2": "SUITE 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "646-331-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENZER",
        "first_name": "YELENA",
        "credential": "M.S.E.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-09",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1114533",
            "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 Feb 5, 2015; 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.