Individual provider Active NPI

Yelena A Trakhtenberg, M.D

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1770716995
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
254751 Issued in NY
Practice address
220 E 63Rd St
Loppy D
New York, NY 10065-7660
Phone
(212) 308-3088
Fax
(631) 581-0015
NPI assigned
Sep 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 254751 NY Primary

Addresses

Primary practice location

220 E 63Rd St
Loppy D
New York, NY 10065-7660

Mailing address

PO Box 234658
Great Neck, NY 11023-4658
Phone (621) 277-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000425 NY Practitioner - Obstetrics/Gynecology 8729128848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Gregory Shifrin OB/GYN PCGroup PAC ID 9830128271, 5 clinicians

Practice addresses (Care Compare)

1766 E 12 St
Brooklyn, NY 11229-1014
Phone (718) 743-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254751NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gregory Shifrin OBGYN PC Gynecology CurrentSince Jul 16, 2013 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Jun 19, 2025 Accepting new patients
Elite Medical Services,PLLC Gynecology PastSince Aug 26, 2009 Accepting new patients

Locations

1766 E 12th St
Brooklyn, NY 11229
Phone (718) 375-2200

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: yet9013@direct.nyp.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1770716995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234658",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110234658",
            "telephone_number": "621-277-1803",
            "fax_number": "631-581-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 63RD ST",
            "address_2": "LOPPY D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657660",
            "telephone_number": "212-308-3088",
            "fax_number": "631-581-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAKHTENBERG",
        "first_name": "YELENA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "254751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.