Individual provider Active NPI

Lesya Tarascina, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1093243180
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308154 Issued in NY
Practice address
2936 Avenue T Apt 2
Brooklyn, NY 11229-4047
Phone
(347) 374-5477
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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 F308154 NY Primary

Addresses

Primary practice location

2936 Avenue T Apt 2
Brooklyn, NY 11229-4047

Mailing address

2936 Avenue T Apt 2
Brooklyn, NY 11229-4047

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
I20170727001732 NY Practitioner - Nurse Practitioner 2668742461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahava Medical Care P.L.L.C.Group PAC ID 0648762237, 3 clinicians

Practice addresses (Care Compare)

1659 Ralph Ave
Brooklyn, NY 11236-3381
Phone (718) 255-9955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308154NYMDInternal Medicine Physician
F308154NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Jun 5, 2017 Accepting new patients
Ahava Medical Care P.L.L.C. CurrentSince Nov 1, 2025 Accepting new patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients

Locations

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

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345

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, 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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1093243180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 AVENUE T APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 AVENUE T APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294047",
            "telephone_number": "347-374-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASCINA",
        "first_name": "LESYA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.