Individual provider Active NPI

Nadezhda Solovyeva, AGACNP

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1053928747
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431845 Issued in NY
Practice address
1275 York Ave
New York, NY 10065-6007
Phone
(212) 639-2000
NPI assigned
Sep 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 431845 NY
Acute Care Nurse Practitioner 363LA2100X 431845 NY Primary

Addresses

Primary practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

Other practice location 1

2932 W 5th St Apt 11C
Brooklyn, NY 11224-4844
Phone (917) 533-9338

Other identifiers 1

IdentifierTypeStateIssuer
752367455OtherNYDRIVER LICENSE

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
I20210111002742 NY Practitioner - Nurse Practitioner 5395158323 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boro Park Operating Co LLCGroup PAC ID 3577751320, 7 clinicians

Practice addresses (Care Compare)

4915 10TH Ave
Brooklyn, NY 11219-3301
Phone (718) 851-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
431845NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Operating Co LLC CurrentSince Sep 1, 2021 Accepting new patients
Medical Director Services PC CurrentSince Aug 1, 2021 Accepting new patients
Medicine Check PC CurrentSince Jun 18, 2023 Accepting new patients
NVD Solostar LLC CurrentSince Nov 1, 2025 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Boro Park Operating Co LLC Past Accepting new patients

Locations

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

Interoperability endpoints

  • Direct secure messaging: nadezhdasolovyeva@mai.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1053928747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2932 W 5th St Apt 11C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112244844",
            "country_code": "US",
            "telephone_number": "917-533-9338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOVYEVA",
        "first_name": "NADEZHDA",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NY",
            "license": "431845",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "752367455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.