Active NPI
Eva Israilova, FNP
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1013466184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F346779-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F346779-01 | NY | MD | Family Nurse Practitioner |
| 2268L001 | NY | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Home Care | Current | 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.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1306369004
-
- Home Health Agency
- Brooklyn, NY
- NPI 1396288775
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.