Active NPI
Chana Barzesky, MSED
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1952170540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 1742362231
- Practice address
- 5801 15TH Ave # 1
Brooklyn, NY 11219-4706 - Phone
- (646) 321-1342
- NPI assigned
- Dec 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 1742367231 | NY | |
| Early Intervention Provider Agency | 252Y00000X | 1742362231 | NY | Primary |
Addresses
Primary practice location
5801 15TH Ave # 1
Brooklyn, NY 11219-4706
Mailing address
5016 12TH Ave Apt 29
Brooklyn, NY 11219-3457
Phone (646) 321-1342
Other practice location 1
5016 12th Ave Apt 29
Brooklyn, NY 11219-3457
Phone (646) 321-1342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1742362231 | NY | MD | Early Intervention Provider Agency |
| 1742367231 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703462400000",
"number": "1952170540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5016 12TH AVE APT 29",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193457",
"telephone_number": "646-321-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 15TH AVE # 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194706",
"telephone_number": "646-321-1342"
}
],
"practiceLocations": [
{
"address_1": "5016 12th Ave Apt 29",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112193457",
"country_code": "US",
"telephone_number": "646-321-1342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARZESKY",
"first_name": "CHANA",
"name_prefix": "Mrs.",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-25",
"last_updated": "2023-12-25",
"certification_date": "2023-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "1742367231",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "1742362231",
"primary": true
}
],
"identifiers": [],
"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 Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.