Active NPI
Alena Siyunova, MS.ED
- Early Intervention Provider Agency
- Forest Hills, NY
National Provider Identifier
1740524685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 2295133
- Practice address
- 10860 66TH Avenue
# B
Forest Hills, NY 11375-2242 - Phone
- (718) 724-4883
- Fax
- (718) 530-6613
- NPI assigned
- Nov 15, 2012
- 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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 2295133 | NY | Primary |
Addresses
Primary practice location
10860 66TH Avenue
# B
Forest Hills, NY 11375-2242
Mailing address
10860 66TH Ave # B
Forest Hills, NY 11375-2242
Phone (718) 724-4883
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 |
|---|---|---|---|
| 2295133 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1740524685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10860 66TH AVE # B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752242",
"telephone_number": "718-724-4883",
"fax_number": "718-530-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10860 66TH AVENUE",
"address_2": "# B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752242",
"telephone_number": "718-724-4883",
"fax_number": "718-530-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIYUNOVA",
"first_name": "ALENA",
"credential": "MS.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "2295133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.