Elana Jo Spahn

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782

Phone

(631) 243-1765

Fax

(631) 243-3716

NPI assigned

Aug 11, 2019

Last updated

Aug 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids First Evaluation and Advocacy Center

  • Local Education Agency (LEA)
  • Deer Park, NY
  • NPI 1376699421
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1275189870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 SMITH AVE",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117514700",
            "telephone_number": "631-807-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 GRAND BLVD STE 5",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295782",
            "telephone_number": "631-243-1765",
            "fax_number": "631-243-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAHN",
        "first_name": "ELANA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Sobel, L.P.N.
• Jerry A. Sokol, MD
• Christopher John Sorrentino, RPH
• South Shore Integrated Physical Therapy, Acupuncture and Massage PLLC (South Shore Integrated Therapy)
• South Shore Medical Care, PC
• Jenna Spatafora
• Olga Spathis, RPH
• Melanie Spitz
• Catherine St Julien
• Nadia St. Martin II

• Specialist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.