Active NPI
Fiana I Yaroslavskaya, MPT
- Physical Therapist
- Rego Park, NY
National Provider Identifier
1376721472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029811-1
- Practice address
- 9952 66TH Rd Lbby C
Rego Park, NY 11374-4461 - Phone
- (718) 263-6288
- NPI assigned
- Jan 31, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029811-1 | NY | Primary |
Addresses
Primary practice location
9952 66TH Rd Lbby C
Rego Park, NY 11374-4461
Mailing address
9952 66TH Rd Apt 9Z
Rego Park, NY 11374-4429
Phone (718) 263-6388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G300000030 | Other | NY | MEDICARE GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9408 | CT | MD | Dentist |
| 029811-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Group, PLLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Rego Park, NY
- NPI 1487681441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261872000000",
"number": "1376721472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9952 66TH RD APT 9Z",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744429",
"telephone_number": "718-263-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9952 66TH RD LBBY C",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744461",
"telephone_number": "718-263-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAROSLAVSKAYA",
"first_name": "FIANA",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2009-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029811-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GHI",
"identifier": "G300000030",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.