Active NPI
Yelena Genzer, M.S.E.D.
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1194087809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 1114533
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1114533 | NY | MD | Early Intervention Provider Agency |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1396136826
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.