Amitina Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

224927-1 Issued in NY

Legal business name

AMITINA NEUROLOGY PC

Practice address

16641 Powells Cove Blvd Apt 3D
Whitestone, NY 11357-1537

Phone

(718) 541-1521

Fax

(718) 631-1866

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yelena Amitina, MDNPI 1548380892

Title

President

Phone

(718) 541-1521

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yelena Amitina, M.D

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1548380892
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1780854232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16641 POWELLS COVE BLVD APT 3D",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571537",
            "telephone_number": "718-541-1521",
            "fax_number": "718-631-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16641 POWELLS COVE BLVD APT 3D",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571537",
            "telephone_number": "718-541-1521",
            "fax_number": "718-631-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITINA NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "AMITINA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-541-1521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "224927-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.