Active NPI
Yitty Itzkowitz
- Behavior Analyst
- Staten Island, NY
National Provider Identifier
1730623380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 001458-01
- Practice address
- 48 Dewhurst St
Staten Island, NY 10314-5006 - Phone
- (347) 517-5536
- NPI assigned
- Dec 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1002983151 | NY | |
| Behavior Analyst | 103K00000X | 001458-01 | NY | Primary |
Addresses
Primary practice location
48 Dewhurst St
Staten Island, NY 10314-5006
Mailing address
1624 59TH St
Brooklyn, NY 11204-2129
Phone (347) 517-5536
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 |
|---|---|---|---|
| 001458-01 | NY | MD | Behavioral Analyst |
| 1002983151 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1730623380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 59TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112042129",
"telephone_number": "347-517-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 DEWHURST ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145006",
"telephone_number": "347-517-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITZKOWITZ",
"first_name": "YITTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-15",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1002983151",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001458-01",
"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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.