Mervat Ellabban, NYS TEACHER

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1948470251 Issued in NY

Practice address

2417 88TH St
East Elmhurst, NY 11369-1007

Phone

(646) 492-0207

NPI assigned

Oct 11, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1770459489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 88TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691007",
            "telephone_number": "646-492-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 88TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691007",
            "telephone_number": "646-492-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLABBAN",
        "first_name": "MERVAT",
        "credential": "NYS TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1948470251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.