Active NPI
Yevgeny Ginzburg
- Early Intervention Provider Agency
- Staten Island, NY
National Provider Identifier
1538480546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 36 Hamilton Ave Apt 4a
Staten Island, NY 10301-1820 - Phone
- (718) 207-1874
- Fax
- (718) 448-5668
- NPI assigned
- Jun 14, 2010
- Last updated
- Jun 14, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | NU | Primary |
Addresses
Primary practice location
36 Hamilton Ave Apt 4a
Staten Island, NY 10301-1820
Mailing address
36 Hamilton Ave Apt 4a
Staten Island, NY 10301-1820
Phone (718) 207-1874
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1538480546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HAMILTON AVE APT 4A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103011820",
"telephone_number": "718-207-1874",
"fax_number": "718-448-5668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 HAMILTON AVE APT 4A",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103011820",
"telephone_number": "718-207-1874",
"fax_number": "718-448-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINZBURG",
"first_name": "YEVGENY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NU",
"license": null,
"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 Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.