Individual provider Active NPI

Yelena Bekker, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1285838912
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011769 Issued in NY
Practice address
11 Kings PL Apt 3D
Brooklyn, NY 11223-2741
Phone
(718) 909-7511
NPI assigned
Jun 14, 2007
Last updated
Jun 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011769 NY Primary

Addresses

Primary practice location

11 Kings PL Apt 3D
Brooklyn, NY 11223-2741

Mailing address

11 Kings Place # 3D
Brooklyn, NY 11223
Phone (718) 909-7511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000207 NY Practitioner - Physician Assistant 2567553092 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011769NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 27, 2017 Accepting new patients
New York University CurrentSince Feb 27, 2017 Accepting new patients
Trustees of Columbia University in the City of New York Physician Assistant CurrentSince Apr 7, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Physician Assistant CurrentSince Apr 7, 2021 Accepting new patients
Lich Faculty Practice Physician Assistant Past Accepting new patients
Maimonides Medical Center Division of Otolaryngology FPP PastSince Oct 1, 2013 Accepting new patients
Long Island College Hospital Physician Assistant Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

745 64th St
Brooklyn, NY 11220
Phone (718) 765-2570

339 Hicks St
Brooklyn Heights, NY 11201
Phone (718) 780-1538

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

622 W 168th St
#2260
New York, NY 10032
Phone (212) 305-5069

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1285838912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KINGS PLACE # 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-909-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KINGS PL APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232741",
            "telephone_number": "718-909-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKKER",
        "first_name": "YELENA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.