Active NPI
Lena Sianov
- Specialist
- Fresh Meadows, NY
National Provider Identifier
1396177796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1756430
- Practice address
- 6913 185TH St
2ND Floor
Fresh Meadows, NY 11365-3513 - Phone
- (347) 288-2664
- NPI assigned
- Aug 7, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1756430 | NY | Primary |
Addresses
Primary practice location
6913 185TH St
2ND Floor
Fresh Meadows, NY 11365-3513
Mailing address
6913 185TH St
2ND Floor
Fresh Meadows, NY 11365-3513
Phone (347) 288-2664
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 |
|---|---|---|---|
| 1756430 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Bright Kids Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Fresh Meadows, NY
- NPI 1487195533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1396177796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 185TH ST",
"address_2": "2ND FLOOR",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653513",
"telephone_number": "347-288-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6913 185TH ST",
"address_2": "2ND FLOOR",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653513",
"telephone_number": "347-288-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIANOV",
"first_name": "LENA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1756430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.