Intellex Pro Group Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

INTELLEX PRO GROUP INC

Practice address

1580 E 18TH St Apt 3L
Brooklyn, NY 11230-7273

Phone

(347) 909-3607

Fax

(347) 338-2800

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Tetyana Velevych

Title

President

Phone

(347) 909-3607

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1962800698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 E 18TH ST APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307273",
            "telephone_number": "347-909-3607",
            "fax_number": "347-338-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 E 18TH ST APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307273",
            "telephone_number": "347-909-3607",
            "fax_number": "347-338-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLEX PRO GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "VELEVYCH",
        "authorized_official_first_name": "TETYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-909-3607"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Pain Medicine PC
• Integrative Physical Therapy P.C.
• Integrity Care Occupational Therapy PC
• Integrity Care Services Inc.
• Integrity Home Visits, Inc
• Intelligent Medical Diagnostics PC
• Intelrehab LLC
• Interactive Discovery Consulting and Psychological SVCS., P.C.
• Interboro Clinic
• Interboro Developmental and Consultation Center

• Exclusive Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.