Active NPI
Janyll E Medina
- Behavior Analyst
- New York, NY
National Provider Identifier
1356059315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 399817773
- Practice address
- 463 7TH Ave FL 18
New York, NY 10018-7604 - Phone
- (212) 582-9100
- NPI assigned
- Nov 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 399817773 | NY | Primary |
Addresses
Primary practice location
463 7TH Ave FL 18
New York, NY 10018-7604
Mailing address
463 7TH Ave FL 18
New York, NY 10018-7604
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
| License | State | Type | Specialty |
|---|---|---|---|
| 399817773 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1356059315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 7TH AVE FL 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 7TH AVE FL 18",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187604",
"telephone_number": "212-582-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "JANYLL",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "399817773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.