Active NPI
Genius Therapy LLC
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1225569858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- GENIUS THERAPY LLC
- Practice address
- 35 Seacoast Ter
Apt 10L
Brooklyn, NY 11235-6040 - Phone
- (347) 372-3520
- NPI assigned
- Mar 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erik Gulyako
- Title
- Member
- Phone
- (347) 372-3520
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
35 Seacoast Ter
Apt 10L
Brooklyn, NY 11235-6040
Mailing address
35 Seacoast Ter
Apt 10L
Brooklyn, NY 11235-6040
Phone (347) 372-3520
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1501459200000",
"number": "1225569858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SEACOAST TER",
"address_2": "APT 10L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356040",
"telephone_number": "347-372-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 SEACOAST TER",
"address_2": "APT 10L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356040",
"telephone_number": "347-372-3520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENIUS THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-24",
"last_updated": "2017-07-31",
"status": "A",
"authorized_official_last_name": "GULYAKO",
"authorized_official_first_name": "ERIK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "347-372-3520"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"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 Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.