Olena Klin

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

948 Patterson Ave
Staten Island, NY 10306-6064

Phone

(917) 696-6988

NPI assigned

Aug 21, 2019

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

Practice roles

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.

• Mary Poppins Tutoring Inc

  • Early Intervention Provider Agency
  • Staten Island, NY
  • NPI 1467003558
  NPD Authorized official

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1861049199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 PATTERSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066064",
            "telephone_number": "917-696-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 PATTERSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066064",
            "telephone_number": "917-696-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIN",
        "first_name": "OLENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natallia Kleshchanka, FNP
• Marci Kliesch, RD
• Ellen Kliger, M.S ED
• Evgeniya Kliger, MSED
• Cristina Klimasz
• Morgan Klingfus, MD
• Elena Klinova, MS ED.
• Mensur E Klobocista, PA
• Omar Klobocista, M.D.
• Kristen Klose

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, 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 Aug 21, 2019; 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.