Individual provider Active NPI

Inna N Yuryev-Golger, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1053324780
Registry record updated Nov 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
205385 Issued in NY
Practice address
2409 Ocean Ave Unit 1F
Brooklyn, NY 11229-3576
Phone
(718) 616-2073
Fax
(718) 444-7775
NPI assigned
Aug 14, 2006
Last updated
Nov 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 205385 NY Primary

Addresses

Primary practice location

2409 Ocean Ave Unit 1F
Brooklyn, NY 11229-3576

Mailing address

2409 Ocean Ave Unit 1F
Brooklyn, NY 11229-3576
Phone (718) 444-7774

Other identifiers 1

IdentifierTypeStateIssuer
01765806MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000257 NY Practitioner - Psychiatry 1355518911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2409 Ocean Ave
Unit 1F
Brooklyn, NY 11229-3576
Phone (718) 444-7774

Merit-based Incentive Payment System (MIPS)

Final score
23.76 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
205385NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Medicine, P.C. CurrentSince May 3, 1999 Accepting new patients
South Shore Osteopathic Medicine P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542412800000",
    "number": "1053324780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 OCEAN AVE UNIT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293576",
            "telephone_number": "718-444-7774",
            "fax_number": "718-444-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 OCEAN AVE UNIT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293576",
            "telephone_number": "718-616-2073",
            "fax_number": "718-444-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURYEV-GOLGER",
        "first_name": "INNA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "205385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01765806",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.