Organization Active NPI

Elaina Kabzan CCC SLP PC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1780826420
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
009090 Issued in NY
Legal business name
ELAINA KABZAN CCC SLP PC
Practice address
2760 Whitman Dr
Brooklyn, NY 11234-6809
Phone
(917) 428-6059
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Ms. Elaina Kabzan-Vaynman, M.S., CCC/SLP
Title
President
Phone
(917) 428-6059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 009090 NY
Early Intervention Provider Agency 252Y00000X 009090 NY Primary

Addresses

Primary practice location

2760 Whitman Dr
Brooklyn, NY 11234-6809

Mailing address

2760 Whitman Dr
Brooklyn, NY 11234-6809
Phone (917) 428-6059

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1780826420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 WHITMAN DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346809",
            "telephone_number": "917-428-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 WHITMAN DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346809",
            "telephone_number": "917-428-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINA KABZAN CCC SLP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "KABZAN-VAYNMAN",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-428-6059",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "009090",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "009090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.