YELENA SPIVAK PA-C
NPI 1215136031
Physician Assistant - Medical in Brooklyn, NY

Active since July 12, 2007PECOS Enrolled
1302 KINGS HWY, BROOKLYN, NY 11229(718) 645-2700(718) 645-3188 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Yelena Spivak Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YELENA SPIVAK PA-C (NPI 1215136031) is an individual medical provider in Brooklyn, New York, licensed in New York (007916) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215136031
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameYELENA SPIVAKCredential: PA-C
Location Address1302 KINGS HWYBrooklyn, NY 11229-1960
Mailing Address501 Surf Ave, #10eBrooklyn, NY 11224 · (718) 266-0756 · Fax (718) 645-3188
Fax(718) 645-3188
Sole ProprietorYes
Enumeration DateJuly 12, 2007
NPI 1215136031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 007916
1302 KINGS HWY, Brooklyn, NY 11229

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yelena Spivak Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1302 KINGS HWY
BROOKLYN, NY 11229
Optometrist
1302 KINGS HWY
BROOKLYN, NY 11229
Home Health
1302 KINGS HWY, 3RD FLOOR
BROOKLYN, NY 11229
Occupational Therapist
1302 KINGS HWY
BROOKLYN, NY 11229
Internal Medicine
1302 KINGS HWY, 2ND FLOOR
BROOKLYN, NY 11229
Specialist
1302 KINGS HWY
BROOKLYN, NY 11229
Specialist
1302 KINGS HWY
BROOKLYN, NY 11229
Optometrist
1302 KINGS HWY
BROOKLYN, NY 11229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yelena Spivak's NPI number?

The NPI number for Yelena Spivak is 1215136031. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Yelena Spivak located?

Yelena Spivak practices at 1302 Kings Hwy, Brooklyn, NY 11229. The listed phone number is (718) 645-2700.

What is Yelena Spivak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Yelena Spivak enrolled in Medicare?

Yes. Yelena Spivak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yelena Spivak was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.