Organization Active NPI

Creative Art & Ink Corp

  • Specialist
  • Staten Island, NY
National Provider Identifier
1386432870
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CREATIVE ART & INK CORP
Practice address
20 Ashley LN
Staten Island, NY 10309-4292
Phone
(929) 418-5403
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Miss Yuliya Nebolsina, MS SP ED
Title
President
Phone
(347) 615-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

20 Ashley LN
Staten Island, NY 10309-4292

Mailing address

20 Ashley LN
Staten Island, NY 10309-4292
Phone (929) 418-5403

Other practice location 1

20 Ashley Ln
Staten Island, NY 10309
Phone (347) 615-2500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1386432870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ASHLEY LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094292",
            "telephone_number": "929-418-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ASHLEY LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094292",
            "telephone_number": "929-418-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Ashley Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "10309",
            "country_code": "US",
            "telephone_number": "347-615-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE ART & INK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-05-14",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "NEBOLSINA",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-615-2500",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS SP ED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.