Individual provider Active NPI

Jan Yankelson, MSED

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1235492174
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MS SPECIAL ED Issued in NY
Practice address
4625 Bedford Ave
Brooklyn, NY 11235-2611
Phone
(718) 769-2801
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MS SPECIAL ED NY Primary

Addresses

Primary practice location

4625 Bedford Ave
Brooklyn, NY 11235-2611

Mailing address

4625 Bedford Ave
Brooklyn, NY 11235-2611
Phone (718) 769-2801

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
MS SPECIAL EDNYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro XP, Inc. 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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1235492174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352611",
            "telephone_number": "718-769-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352611",
            "telephone_number": "718-769-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKELSON",
        "first_name": "JAN",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "MS SPECIAL ED",
            "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 Jun 15, 2012; 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.