YELENA SPIVAK (NPI# 1215136031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215136031 |
| Entity Type | Individual |
| Full Name | YELENA SPIVAK |
| Credential | PA-C |
| Practice Address |
1302 Kings Hwy Brooklyn NY 11229-1960 |
| Mailing Address |
501 Surf Ave, #10e Brooklyn NY 11224 |
| Practice Telephone | 7186452700 |
| Practice Fax Number | 7186453188 |
| Mailing Telephone | 7182660756 |
| Mailing Fax Number | 7186453188 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
007916 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1302 KINGS HWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462701 | Ethan Marc Bellin | Optometrist | 1302 Kings Hwy, Brooklyn, NY 11229-1960 | 2005-10-27 |
| 1194194498 | Five Star Home Health Care Agency | Home Health | 1302 Kings Hwy, 3rd Floor, Brooklyn, NY 11229-1970 | 2015-09-17 |
| 1548513922 | Family Optometry P.c | Optometrist | 1302 Kings Hwy, Brooklyn, NY 11229-1970 | 2012-10-22 |
| 1760734297 | Kings Highway Vision Express, LLC | Eyewear Supplier (Equipment, not the service) | 1302 Kings Hwy, Brooklyn, NY 11229-1970 | 2012-10-08 |
| 1225349749 | Chandra G Fletcher | Occupational Therapist | 1302 Kings Hwy, Brooklyn, NY 11229 | 2010-06-30 |
| 1497076731 | Ari Weitzner Md PC | Ophthalmology | 1302 Kings Hwy, 3rd Floor, Brooklyn, NY 11229-1960 | 2010-06-22 |
| 1710121454 | Millennium Rehab Services | Early Intervention Provider Agency | 1302 Kings Hwy, Brooklyn, NY 11229-1960 | 2009-04-24 |
| 1083850341 | Kings Highway Optical Corp. | Eyewear Supplier (Equipment, not the service) | 1302 Kings Hwy, Brooklyn, NY 11229-1960 | 2008-12-16 |
| 1578734679 | Yuly Gertsberg Oral Surgery PC | Clinic/Center | 1302 Kings Hwy, 6 Floor, Brooklyn, NY 11229-1964 | 2008-03-17 |
| 1417072513 | Aem Optical Inc | Optometrist | 1302 Kings Hwy, Brooklyn, NY 11229-1960 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517305 | Angenis Lin | Physician Assistant | 1526 83rd St, Brooklyn, NY 11228-3130 | 2020-01-22 |
| 1740848985 | Mallory Des Champs | Physician Assistant | 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 | 2019-06-03 |
| 1588140230 | Sharon Cheptum Griesinger | Physician Assistant | 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 | 2018-07-16 |
| 1336651629 | Francine Panely | Physician Assistant | 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 | 2017-10-26 |
| 1265951479 | Leah Mcmullen | Physician Assistant | 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 | 2017-09-19 |
| 1033655378 | Zacharia El-samin | Physician Assistant | 21 Pine Tree Ter, Brooklyn, CT 06234-3324 | 2017-01-10 |
| 1982156816 | Chad Smartt | Physician Assistant | 988 E 39th St, Brooklyn, NY 11210-3508 | 2016-10-26 |
| 1154870913 | Christina Masaitis | Physician Assistant | 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 | 2016-09-22 |
| 1447615737 | Eliezer Gurkov | Physician Assistant | 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 | 2015-12-31 |
| 1588039846 | Inna Kremen | Physician Assistant | 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 | 2015-12-11 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.