Individual provider Active NPI

Yana Ryzhakova, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1033576863
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340277 Issued in NY
Practice address
4050 Nostrand Ave Ste 1M
Brooklyn, NY 11235-2250
Phone
(347) 450-6040
Fax
(201) 221-8073
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 340277 NY
Dermatology Physician 207N00000X 340277 NY
Family Medicine Physician 207Q00000X 340277 NY
Sleep Medicine (Family Medicine) Physician 207QS1201X 340277 NY
Pulmonary Disease Physician 207RP1001X 340277 NY
Neurology Physician 2084N0400X 340277 NY
Family Nurse Practitioner 363LF0000X 340277 NY Primary

Addresses

Primary practice location

4050 Nostrand Ave Ste 1M
Brooklyn, NY 11235-2250

Mailing address

4207 Atlantic Ave # 1B
Brooklyn, NY 11224-1023
Phone (646) 696-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718000386 NY Practitioner - Nurse Practitioner 6002108768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11129 Queens Blvd
Forest Hills, NY 11375-5553
Phone (718) 275-8900

4050 Nostrand Ave
Suite 1M
Brooklyn, NY 11235-2250
Phone (347) 450-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Family Health NP PC CurrentSince Mar 28, 2021 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1033576863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 ATLANTIC AVE # 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241023",
            "telephone_number": "646-696-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 NOSTRAND AVE STE 1M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352250",
            "telephone_number": "347-450-6040",
            "fax_number": "201-221-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYZHAKOVA",
        "first_name": "YANA",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "340277",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "340277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "340277",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NY",
            "license": "340277",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "340277",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "340277",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.