Organization Active NPI

Genius Therapy LLC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1225569858
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
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
Last updated
Jul 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Authorized official

Name
Erik GulyakoNPI 1336401421
Title
Member
Phone
(347) 372-3520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.