Individual provider Active NPI

Victoria Etlin-Kishkin, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1053235598
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F312354-01 Issued in NY
Practice address
3319 Kings Hwy Apt 1J
Brooklyn, NY 11234-2622
Phone
(718) 676-4067
Fax
(718) 676-4068
NPI assigned
Aug 6, 2026
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F312354-01 NY Primary

Addresses

Primary practice location

3319 Kings Hwy Apt 1J
Brooklyn, NY 11234-2622

Mailing address

249 13TH St Apt 18
Brooklyn, NY 11215-4846
Phone (347) 276-9960

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ilya Blokh MD PC PastSince Aug 14, 2009 Accepting new patients
Marianna Blokh DPM, P.C. PastSince Nov 20, 2017 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1053235598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 13TH ST APT 18",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154846",
            "telephone_number": "347-276-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 KINGS HWY APT 1J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342622",
            "telephone_number": "718-676-4067",
            "fax_number": "718-676-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETLIN-KISHKIN",
        "first_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F312354-01",
            "primary": true
        }
    ],
    "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 Aug 6, 2026; 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.