Organization Active NPI

Intellectual Gift SLP, PC

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1619423134
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
017071 Issued in NY
Legal business name
INTELLECTUAL GIFT SLP, PC
Practice address
49 Cranford CT
Staten Island, NY 10306-2083
Phone
(917) 553-0424
NPI assigned
Aug 26, 2016
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Yelena Berezenko, SLPNPI 1023254760
Title
Director
Phone
(917) 553-0424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 017071 NY Primary

Addresses

Primary practice location

49 Cranford CT
Staten Island, NY 10306-2083

Mailing address

49 Cranford CT
Staten Island, NY 10306-2083
Phone (917) 553-0424

National Provider Directory

National Provider Directory
Tax ID family
Intellectual Gift SLP PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1619423134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CRANFORD CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062083",
            "telephone_number": "917-553-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CRANFORD CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062083",
            "telephone_number": "917-553-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLECTUAL GIFT SLP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "BEREZENKO",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-553-0424",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "017071",
            "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 Aug 26, 2016; 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.