Active NPI
Elena Jigoulskaia, RD
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1518948397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005832
- Practice address
- 1021 Avenue Z
Brooklyn, NY 11235-5105 - Phone
- (718) 934-9508
- Fax
- (815) 550-1939
- NPI assigned
- Nov 9, 2005
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005832 | NY | Primary |
Addresses
Primary practice location
1021 Avenue Z
Brooklyn, NY 11235-5105
Mailing address
1021 Avenue Z
Brooklyn, NY 11235-5105
Phone (718) 934-9508
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8099763 | Other | NY | GHI |
| P3577141 | Other | NY | OXFORD HEALTH PLANS |
| 9376380 | Other | NY | PHCS |
| 2409316 | Other | NY | UNITEDHEALTHCARE |
| 113621037 | Other | NY | HORIZON HEALTH CARE |
| 178651P | Other | NY | HIP HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123000713 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 0244295871 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1518948397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 AVENUE Z",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355105",
"telephone_number": "718-934-9508",
"fax_number": "815-550-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 AVENUE Z",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355105",
"telephone_number": "718-934-9508",
"fax_number": "815-550-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIGOULSKAIA",
"first_name": "ELENA",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "8099763",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P3577141",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9376380",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "2409316",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTH CARE",
"identifier": "113621037",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP HEALTH PLAN",
"identifier": "178651P",
"state": "NY"
}
],
"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 Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.