Individual provider Active NPI

Yelena Bozo

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1396986337
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013993 Issued in NY
Practice address
2643 E 24TH St
Apt. 2a
Brooklyn, NY 11235-2609
Phone
(646) 642-9591
NPI assigned
Mar 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013993 NY Primary

Addresses

Primary practice location

2643 E 24TH St
Apt. 2a
Brooklyn, NY 11235-2609

Mailing address

2643 E 24TH St
Apt. 2a
Brooklyn, NY 11235-2609

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dzhulay- Bozo Speech Therapy, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1396986337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 E 24TH ST",
            "address_2": "APT. 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 E 24TH ST",
            "address_2": "APT. 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352609",
            "telephone_number": "646-642-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZO",
        "first_name": "YELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-22",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; 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.