Active NPI
Yelena Shvarts
- Legal Medicine
- Brooklyn, NY
National Provider Identifier
1871665562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 161748
- Practice address
- 415 Avenue P
Brooklyn, NY 11223-1824 - Phone
- (718) 336-2914
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 161748 | NY | Primary |
Addresses
Primary practice location
415 Avenue P
Brooklyn, NY 11223-1824
Mailing address
415 Avenue P
Brooklyn, NY 11223-1824
Phone (718) 336-2914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00875989 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040412001205 | NY | Practitioner - General Practice | 8921092081 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161748 | NY | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871665562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231824",
"telephone_number": "718-336-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 AVENUE P",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112231824",
"telephone_number": "718-336-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHVARTS",
"first_name": "YELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "161748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00875989",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.