Active NPI
Yelena Faynzilbert DO PLLC
- Geriatric Medicine (Family Medicine) Physician
- Farmingdale, NY
National Provider Identifier
1245667930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 263077
- Legal business name
- YELENA FAYNZILBERT DO PLLC
- Practice address
- 62 Stratford Green
Farmingdale, NY 11735 - Phone
- (631) 623-2144
- NPI assigned
- Sep 26, 2013
- 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
- Dr. Yelena Faynzilbert, D.O.
- Title
- President
- Phone
- (631) 623-2144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 263077 | NY | Primary |
Addresses
Primary practice location
62 Stratford Green
Farmingdale, NY 11735
Mailing address
62 Stratford Green
Farmingdale, NY 11735
Phone (631) 623-2144
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1245667930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 STRATFORD GREEN",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "631-623-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 STRATFORD GREEN",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "11735",
"telephone_number": "631-623-2144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YELENA FAYNZILBERT DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-26",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "FAYNZILBERT",
"authorized_official_first_name": "YELENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-623-2144",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NY",
"license": "263077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.