NPIMap

Organization Active NPI

Gravesend Medical Services,P.C.

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1427190800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1974471 Issued in NY
Legal business name
GRAVESEND MEDICAL SERVICES,P.C.
Practice address
825 Avenue W
Brooklyn, NY 11223-5558
Phone
(718) 336-1810
Fax
(718) 627-9338
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yelena Ilina, M.D.
Title
President
Phone
(718) 336-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1974471 NY Primary

Addresses

Primary practice location

825 Avenue W
Brooklyn, NY 11223-5558

Mailing address

825 Avenue W
Brooklyn, NY 11223-5558
Phone (718) 336-1810

National Provider Directory

National Provider Directory

Locations

2589 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 368-3698

Practitioners & affiliated clinicians

Practitioners 6

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427190800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235558",
            "telephone_number": "718-336-1810",
            "fax_number": "718-627-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235558",
            "telephone_number": "718-336-1810",
            "fax_number": "718-627-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVESEND MEDICAL SERVICES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ILINA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-336-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "1974471",
            "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 Aug 22, 2020; 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.