Active NPI
Julia Kozlovsky
- Specialist
- Brooklyn, NY
National Provider Identifier
1497018394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2224073
- Practice address
- 1641 Ocean Ave
B-3
Brooklyn, NY 11230-5046 - Phone
- (718) 377-7074
- NPI assigned
- Jun 17, 2012
- 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 | 2224073 | NY | Primary |
Addresses
Primary practice location
1641 Ocean Ave
B-3
Brooklyn, NY 11230-5046
Mailing address
1641 Ocean Ave
B-3
Brooklyn, NY 11230-5046
Phone (718) 664-8559
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 |
|---|---|---|---|
| 2224073 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Theragroup, 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
- Brooklyn, NY
- NPI 1841642451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1497018394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 OCEAN AVE",
"address_2": "B-3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305046",
"telephone_number": "718-664-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 OCEAN AVE",
"address_2": "B-3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305046",
"telephone_number": "718-377-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOVSKY",
"first_name": "JULIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-17",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2224073",
"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 May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.