Individual provider Active NPI

Eva Israilova, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1013466184
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346779-01 Issued in NY
Practice address
2784 Coney Island Ave
Brooklyn, NY 11235-5022
Phone
(917) 642-2243
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346779-01 NY Primary
Home Health Aide 374U00000X 2268L001 NY

Addresses

Primary practice location

2784 Coney Island Ave
Brooklyn, NY 11235-5022

Mailing address

2784 Coney Island Ave
Brooklyn, NY 11235-5022
Phone (718) 368-4000

Other practice location 1

1600 Sheepshead Bay Rd Ste 203
Brooklyn, NY 11235-3847
Phone (718) 368-4000 ext. 103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F346779-01NYMDFamily Nurse Practitioner
2268L001NYMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Home Care CurrentSince Jul 24, 2022 Accepting new patients
Brighton Home Care Current Accepting new patients

Locations

1600 Sheepshead Bay Rd
Ste 203
Brooklyn, NY 11235
Phone (718) 368-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1013466184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355022",
            "telephone_number": "718-368-4000",
            "fax_number": "718-368-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2784 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355022",
            "telephone_number": "917-642-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Sheepshead Bay Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353847",
            "country_code": "US",
            "telephone_number": "718-368-4000 x103",
            "fax_number": "718-368-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISRAILOVA",
        "first_name": "EVA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346779-01",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "2268L001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.