OrganizationActive
Functional Life
NPI 1265797096 · Early Intervention Provider Agency · Jamaica, NY
Functional Life is a Early Intervention Provider Agency organization in Jamaica, NY (NPI 1265797096).
Provider details
- NPI number
- 1265797096
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Elena Rafaelov, Special Education Teacher(917) 412-7796
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8110 135th St Apt 201
Jamaica, NY 11435-1041
Phone: (917) 412-7796
Street-level locationGet directions
Mailing address
8110 135th St Apt 201
Jamaica, NY 11435-1041
Registry dates
- Enumerated
- 2012-07-09
- Last updated
- 2012-07-09
Frequently asked questions
- What is Functional Life's NPI number?
- Functional Life's National Provider Identifier (NPI) is 1265797096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Functional Life?
- Functional Life is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Functional Life located?
- Functional Life's practice location on file with NPPES is 8110 135th St Apt 201, Jamaica, NY 11435-1041.
- What is Functional Life's phone number?
- The practice phone number listed in the NPPES registry for Functional Life is (917) 412-7796.
- Who is the authorized official for Functional Life?
- The authorized official listed on Functional Life's NPPES record is Elena Rafaelov, Special Education Teacher. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Functional Life's NPI active?
- Yes — Functional Life's NPI (1265797096) is active in the NPPES registry as of the last update on 2012-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.