Individual provider Active NPI

Chana Engelberg, MSED

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1992060677
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
896564 Issued in NY
Practice address
3321 Avenue M
Brooklyn, NY 11210-5421
Phone
(718) 531-1800
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 896564 NY Primary

Addresses

Primary practice location

3321 Avenue M
Brooklyn, NY 11210-5421

Mailing address

1491 E 31St St
Brooklyn, NY 11234-3401
Phone (347) 525-4993

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
896564NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Audiology, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1992060677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343401",
            "telephone_number": "347-525-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105421",
            "telephone_number": "718-531-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBERG",
        "first_name": "CHANA",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "896564",
            "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 Jul 9, 2012; 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.