Individual provider Active NPI

Irina Novikov, ANP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1063780450
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305809 Issued in NY
Practice address
70 W Brighton Avenue
Brooklyn, NY 11224
Phone
(732) 970-8700
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 305809 NY Primary

Addresses

Primary practice location

70 W Brighton Avenue
Brooklyn, NY 11224

Mailing address

2952 Brighton 3Rd St Ste 201
Brooklyn, NY 11235-7078
Phone (718) 975-4334

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
I20240711000277 NY Practitioner - Nurse Practitioner 1951846252 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Irina Novikov NP in Adult Health PCGroup PAC ID 9133658008, 2 clinicians

Practice addresses (Care Compare)

70 W Brighton Ave
Brooklyn, NY 11224-4900
Phone (917) 353-0823

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305809NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irina Novikov NP in Adult Health PC Adult Health CurrentSince Aug 6, 2024 Accepting new patients

Locations

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

Organizations & group practices 1

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 4

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1063780450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3RD ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357078",
            "telephone_number": "718-975-4334",
            "fax_number": "718-975-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W BRIGHTON AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11224",
            "telephone_number": "732-970-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIKOV",
        "first_name": "IRINA",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.