Eleonora Aminova I, MAED

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

557481111 Issued in NY

Practice address

8911 63Rd Dr
305
Rego Park, NY 11374-3852

Phone

(347) 361-1934

NPI assigned

Jul 2, 2012

Last updated

Jul 2, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eleonora's Bright Stars Inc

  • Early Intervention Provider Agency
  • Rego Park, NY
  • NPI 1912512062
  NPD Authorized official

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1821352030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 63RD DR",
            "address_2": "APT# 305 REGO PARK NY",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743852",
            "telephone_number": "347-361-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 63RD DR",
            "address_2": "305",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743852",
            "telephone_number": "347-361-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINOVA",
        "first_name": "ELEONORA",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "MAED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "557481111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557481111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Edward Amato, D.C.
• Alon Aminov, DDS
• Sanetta Aminov, DDS
• Stella Aminov, DDS
• Yulian Aminov, DDS
• Milana Aminova
• Cherie Anderson
• Joseph Pagaoa Andres, P.T.
• Patrick G. Andretta, PH.D.
• Constantine T. Andrew, M.D.

• Early Intervention Provider Agency in Rego Park, NY
• Providers in Rego Park, 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 Jul 2, 2012; 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.