Bolzano Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BOLZANO GROUP LLC

Practice address

6164 81St St
Middle Village, NY 11379-1404

Phone

(917) 495-2532

NPI assigned

May 8, 2025

Last updated

May 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Esya Yusupova, MS.ED CERTIFIEDNPI 1962807818

Title

Special Education Teacher

Phone

(917) 495-2532

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Esya Yusupova

  • Specialist
  • Middle Village, NY
  • NPI 1962807818
  NPD Authorized official

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1992595383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 81ST ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791404",
            "telephone_number": "917-495-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6164 81ST ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791404",
            "telephone_number": "917-495-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLZANO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "YUSUPOVA",
        "authorized_official_first_name": "ESYA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "917-495-2532",
        "authorized_official_credential": "MS.ED CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.