Active NPI
Yelena Isakbayeva
- Ophthalmic Technician/Technologist
- Flushing, NY
National Provider Identifier
1710156351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- 007973-1
- Practice address
- 4348 Colden St
Flushing, NY 11355-3934 - Phone
- (718) 755-0656
- Fax
- (718) 969-1326
- NPI assigned
- Feb 28, 2008
- 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 |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | 007973-1 | NY | Primary |
Addresses
Primary practice location
4348 Colden St
Flushing, NY 11355-3934
Mailing address
PO Box 520390
Flushing, NY 11355
Phone (718) 755-0656
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007973-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1710156351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520390",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-755-0656",
"fax_number": "718-969-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4348 COLDEN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553934",
"telephone_number": "718-755-0656",
"fax_number": "718-969-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAKBAYEVA",
"first_name": "YELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": "NY",
"license": "007973-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.