Individual provider Active NPI

Svetlana Reyblat

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1962006379
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2664375 Issued in NY
Practice address
2662 West St Apt 4D
Brooklyn, NY 11223-6428
Phone
(646) 639-5238
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2664375 NY Primary

Addresses

Primary practice location

2662 West St Apt 4D
Brooklyn, NY 11223-6428

Mailing address

2662 West St Apt 4D
Brooklyn, NY 11223-6428
Phone (646) 639-5238

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Brooklyn Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
2664375NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1962006379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 WEST ST APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236428",
            "telephone_number": "646-639-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 WEST ST APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236428",
            "telephone_number": "646-639-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYBLAT",
        "first_name": "SVETLANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2664375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2662 West St Apt 4D",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112236428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 25, 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.