Individual provider Active NPI

Iryna Komendyak, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1104186055
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347498-01 Issued in NY
Practice address
3000 Ocean Pkwy Ste L1
Brooklyn, NY 11235-8344
Phone
(929) 703-2772
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 635483-1 NY
Family Health Clinical Nurse Specialist 364SF0001X 347498 NY
Family Nurse Practitioner 363LF0000X F347498-01 NY Primary

Addresses

Primary practice location

3000 Ocean Pkwy Ste L1
Brooklyn, NY 11235-8344

Mailing address

2455 Haring St Apt 1H
Brooklyn, NY 11235-1821
Phone (917) 741-0550

Other practice location 1

2455 Haring St Apt 1H
Brooklyn, NY 11235-1821
Phone (917) 741-0550

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
I20230208002680 NY Practitioner - Nurse Practitioner 8527430172 Reassigns benefits to 2 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
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians

Practice addresses (Care Compare)

3000 Ocean Pkwy
Brooklyn, NY 11235-8374
Phone (718) 283-4444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
635483-1NYMDRegistered Nurse
F347498-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Komendyak Health NP in Family Health PC CurrentSince Aug 1, 2025 Accepting new patients
Vantage Medical Associates PC CurrentSince Apr 1, 2025 Accepting new patients

Locations

3000 Ocean Pkwy
Ste L1
Brooklyn, NY 11235
Phone (347) 249-3605

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1104186055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 HARING ST APT 1H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351821",
            "telephone_number": "917-741-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY STE L1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358344",
            "telephone_number": "929-703-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Haring St Apt 1H",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112351821",
            "country_code": "US",
            "telephone_number": "917-741-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMENDYAK",
        "first_name": "IRYNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635483-1",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NY",
            "license": "347498",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347498-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.