Organization Active NPI

Yelena Shilimova M.D., P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
National Provider Identifier
1285655530
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
204311 Issued in NY
Legal business name
YELENA SHILIMOVA M.D., P.C.
Practice address
1250 Ocean Pkwy
Brooklyn, NY 11230-5155
Phone
(718) 677-0670
Fax
(718) 677-6499
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Yelena Shilimova, M.D.
Title
Doctor
Phone
(718) 677-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 204311 NY Primary

Addresses

Primary practice location

1250 Ocean Pkwy
Brooklyn, NY 11230-5155

Mailing address

1250 Ocean Pkwy
Brooklyn, NY 11230-5155
Phone (718) 677-0670

Other identifiers 1

IdentifierTypeStateIssuer
01867656MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1285655530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305155",
            "telephone_number": "718-677-0670",
            "fax_number": "718-677-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305155",
            "telephone_number": "718-677-0670",
            "fax_number": "718-677-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA SHILIMOVA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "SHILIMOVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-677-0670",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "204311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867656",
            "state": "NY"
        }
    ],
    "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 Nov 6, 2007; 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.