Individual provider Active NPI

Yelena Ilina, M.D.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1609841741
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
197447 Issued in NY
Practice address
2589 Coney Island Ave
Brooklyn, NY 11223-5536
Phone
(718) 368-3698
Fax
(718) 368-3480
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 197447 NY Primary

Addresses

Primary practice location

2589 Coney Island Ave
Brooklyn, NY 11223-5536

Mailing address

2589 Coney Island Ave
Brooklyn, NY 11223-5536
Phone (718) 368-3698

Other identifiers 1

IdentifierTypeStateIssuer
01614942MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000816 NY Practitioner - Physical Medicine and Rehabilitation 9739082009 Reassigns benefits to 2 organizations
Practice locations: Glencove, NY; Rockaway Park, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feel Good Medical PCGroup PAC ID 6800182981, 9 clinicians
Medical Point PCGroup PAC ID 2860583796, 5 clinicians

Practice addresses (Care Compare)

3039 Ocean Pkwy
Suite 2a
Brooklyn, NY 11235-8378
Phone (718) 975-4466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Point P.C. Neurology CurrentSince Jul 1, 2022 Accepting new patients
Feel Good Medical PC CurrentSince May 1, 2022 Accepting new patients
Kings Medical PC PastSince Mar 16, 2007 Accepting new patients
Pain Management & Rehabilitative Physical Medicine, PC PastSince Sep 6, 2006 Accepting new patients
Boro Park Medical P.C. PastSince Feb 18, 2000 Accepting new patients

Locations

3039 Ocean Pkwy
Ste 3A
Brooklyn, NY 11235
Phone (718) 349-1200

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

3039 Ocean Pkwy
Ste 2A
Brooklyn, NY 11235
Phone (718) 975-4466

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1609841741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235536",
            "telephone_number": "718-368-3698",
            "fax_number": "718-368-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235536",
            "telephone_number": "718-368-3698",
            "fax_number": "718-368-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILINA",
        "first_name": "YELENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "197447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01614942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.