Organization Active NPI

Yelena Nemtsova, PT, PC

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1508136011
Registry record updated Jan 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
15516 Issued in NY
Legal business name
YELENA NEMTSOVA, PT, PC
Practice address
291 Robinson Ave
Staten Island, NY 10312-5609
Phone
(917) 622-2612
NPI assigned
Jan 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2012

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

Authorized official

Name
Yelena NemtsovaNPI 1619111689
Title
President
Phone
(917) 622-2612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 15516 NY Primary

Addresses

Primary practice location

291 Robinson Ave
Staten Island, NY 10312-5609

Mailing address

291 Robinson Ave
Staten Island, NY 10312-5609

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": "1325376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325376000000",
    "number": "1508136011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 ROBINSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 ROBINSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125609",
            "telephone_number": "917-622-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELENA NEMTSOVA, PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-01",
        "last_updated": "2012-01-01",
        "status": "A",
        "authorized_official_last_name": "NEMTSOVA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-622-2612"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "15516",
            "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 Jan 1, 2012; 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.