MK Star Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MK STAR INC

Practice address

104 Linwood Ave
Staten Island, NY 10305-4400

Phone

(917) 365-9833

Fax

(718) 979-0407

NPI assigned

Oct 31, 2020

Organization subpart

No

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

Authorized official

Name

Yelena Muravina, M.S.ED.NPI 1922360338

Title

Special Education Teacher

Phone

(917) 365-9833

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Yelena Muravina

  • Case Manager/Care Coordinator
  • Brooklyn, NY
  • NPI 1922360338
  NPD Authorized official

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1891395463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LINWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054400",
            "telephone_number": "917-365-9833",
            "fax_number": "718-979-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LINWOOD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054400",
            "telephone_number": "917-365-9833",
            "fax_number": "718-979-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK STAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "MURAVINA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "917-365-9833",
        "authorized_official_credential": "M.S.ED."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATION TEACHER",
            "identifier": "1922360338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shveta Mittal, PH.D.
• Christina Mittentag, LMSW
• Yurina Miyamoto, MD
• Giselle J Mizhquiri
• Juan A Mizhquiri
• MK Vision Center Staten Island LLC
• MLC Early Consulting Services
• MLR Speech Language Pathology
• MLTK LLC
• MMP RX, LLC

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.