Yelena Kuznetsov, RN BSN

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Practice address

83 Bustleton Pike Unit C
Feasterville Trevose, PA 19053-6465

Phone

(215) 710-0515

Fax

(215) 710-0258

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

Practice roles

Locations

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.

• Fidelity Home Health LLC

  • Home Health Agency
  • Feasterville Trevose, PA
  • NPI 1144569849
  NPD Authorized official
• Fidelity Therapy Services LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Feasterville Trevose, PA
  • NPI 1831708809
  NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1740806900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 BUSTLETON PIKE UNIT C",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536465",
            "telephone_number": "215-710-0515",
            "fax_number": "215-710-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 BUSTLETON PIKE UNIT C",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536465",
            "telephone_number": "215-710-0515",
            "fax_number": "215-710-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNETSOV",
        "first_name": "YELENA",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.axxess.com/",
            "affiliation": "N",
            "endpointDescription": "AXXESS HOME HEALTH SOFTWARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WEB BASED PRODUCT",
            "address_1": "83 Bustleton Pike Unit C",
            "city": "Feasterville Trevose",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190536465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Svetlana Klichinsky
• Maciej Kosakowski, DMD
• Yasmeen Ktaishat
• Georgy Kurudimov, DMD
• Neelima M Kute, MD
• Si Tien Lam, DO
• Land Medical Corporation
• Land Medical, Inc.
• Sherri Landes, PH.D.
• Lanestha, P.C.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.