MRS. TATYANA YEGUTKIN (NPI# 1124485362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124485362 |
| Entity Type | Individual |
| Full Name | MRS. TATYANA YEGUTKIN |
| Practice Address |
1580 Dahill Rd 2 Fl Brooklyn NY 11204-3573 |
| Practice Telephone | 7183752505 |
| Practice Fax Number | 7183752472 |
| Mailing Telephone | 7183752505 |
| Mailing Fax Number | 7183752472 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1580 DAHILL RD 2 FL |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013296136 | Vadim Plaxine | Physical Therapist | 1580 Dahill Rd, Brooklyn, NY 11204-3537 | 2011-08-07 |
| 1508318833 | Aliya Hussain | Specialist | 1580 Dahill Rd, Brooklyn, NY 11204-3573 | 2016-11-03 |
| 1811446875 | Anna Doucet | Specialist | 1580 Dahill Rd, 2 Fl, Brooklyn, NY 11204-3573 | 2016-09-30 |
| 1336698620 | Leylya Chorshanbaeva | Specialist | 1580 Dahill Rd, 2 Fl, Brooklyn, NY 11204-3573 | 2016-09-27 |
| 1982158366 | Marina Kolmanovsky | Specialist | 1580 Dahill Rd, 2nd Floor, Brooklyn, NY 11204-3573 | 2016-08-15 |
| 1558814665 | Natalia Potok | Behavioral Analyst | 1580 Dahill Rd, Brooklyn, NY 11204-3573 | 2016-07-26 |
| 1740633999 | Tatiana Kozina | Case Manager/Care Coordinator | 1580 Dahill Rd, 2 Fl, Brooklyn, NY 11204-3573 | 2016-07-22 |
| 1114379666 | Alina Nudelman | Specialist | 1580 Dahill Rd, Brooklyn, NY 11204-3573 | 2016-07-08 |
| 1376994509 | Yevgeniya Gorodetskaya | Specialist | 1580 Dahill Rd, 2 Fl, Brooklyn, NY 11204-3573 | 2016-06-29 |
| 1306294608 | Tina A Calicchio | Specialist | 1580 Dahill Rd, 2 Fl, Brooklyn, NY 11204-3573 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1023625928 | Edenia Alejandra Ramirez | Case Manager/Care Coordinator | 165 E 19th St Apt 2f, Brooklyn, NY 11226-4834 | 2020-09-25 |
| 1497368120 | Cathy Colon | Case Manager/Care Coordinator | 99 Wilson St Apt 19c, Brooklyn, NY 11249-6916 | 2020-08-24 |
| 1568071843 | Dayana V Dzhakhnaeva | Case Manager/Care Coordinator | 454 Avenue U Ste 2, Brooklyn, NY 11223-4032 | 2020-07-23 |
| 1134737042 | Naara Ramirez-estevez | Case Manager/Care Coordinator | 232 Grant Ave, Brooklyn, NY 11208-1809 | 2020-07-16 |
| 1952929770 | Olga Bagriy | Case Manager/Care Coordinator | 2435 Ocean Ave Apt 4e, Brooklyn, NY 11229-3538 | 2020-07-08 |
| 1194352823 | Zurab Maisuradze | Case Manager/Care Coordinator | 2508 Hubbard St Fl 2, Brooklyn, NY 11235-6223 | 2020-03-24 |
| 1134755333 | Kimberly Guadagno | Case Manager/Care Coordinator | 16 Judge St Apt 4r, Brooklyn, NY 11211-3834 | 2020-03-19 |
| 1174156392 | Sara Hassanein | Case Manager/Care Coordinator | 224 95th St, Brooklyn, NY 11209-6810 | 2020-02-17 |
| 1720627920 | Gayane Atoyan | Case Manager/Care Coordinator | 6309 Bay Pkwy Apt E4, Brooklyn, NY 11204-3266 | 2020-01-06 |
| 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.