OrganizationActive
Individual Provider
NPI 1538407259 · Specialist · Brooklyn, NY
Individual Provider is a Specialist organization in Brooklyn, NY (NPI 1538407259).
Provider details
- NPI number
- 1538407259
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Larisa Mishina, Special Ed. Teacher(917) 612-5231
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 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
3031 Brighton 1st St
Brooklyn, NY 11235-8017
Phone: (917) 612-5231
Approximate (ZIP-level) locationGet directions
Mailing address
3031 Brighton 1st St
Brooklyn, NY 11235-8017
Registry dates
- Enumerated
- 2013-01-30
- Last updated
- 2013-02-02
Frequently asked questions
- What is Individual Provider's NPI number?
- Individual Provider's National Provider Identifier (NPI) is 1538407259, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Individual Provider?
- Individual Provider is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Individual Provider located?
- Individual Provider's practice location on file with NPPES is 3031 Brighton 1st St, Brooklyn, NY 11235-8017.
- What is Individual Provider's phone number?
- The practice phone number listed in the NPPES registry for Individual Provider is (917) 612-5231.
- Who is the authorized official for Individual Provider?
- The authorized official listed on Individual Provider's NPPES record is Larisa Mishina, Special Ed. Teacher. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Individual Provider's NPI active?
- Yes — Individual Provider's NPI (1538407259) is active in the NPPES registry as of the last update on 2013-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.