Individual provider Active NPI

Alla Tryzna, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1104237957
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309940 Issued in NY
Practice address
5923 Strickland Ave
Brooklyn, NY 11234-6435
Phone
(718) 535-3100
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 606337 NY
Adult Health Nurse Practitioner 363LA2200X 309940 NY Primary

Addresses

Primary practice location

5923 Strickland Ave
Brooklyn, NY 11234-6435

Mailing address

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

Other names 1

  • Alla Babakhina Former name

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
I20210413000245 NY Practitioner - Nurse Practitioner 2567870504 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
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

  • Boro Park Center for Rehabilitation and Healthcare Nursing home, Brooklyn, NY, CCN 335470

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
606337NYMDRegistered Nurse
309940NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Nov 26, 2021 Accepting new patients
Boro Park Operating Co LLC CurrentSince Dec 24, 2020 Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 26, 2021 Accepting new patients
Boro Park Operating Co LLC Past Accepting new patients

Locations

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

300 Community Dr
Plandome, NY 11030

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

Organizations & group practices 4

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1104237957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193301",
            "telephone_number": "718-851-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5923 STRICKLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346435",
            "telephone_number": "718-535-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYZNA",
        "first_name": "ALLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "606337",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLA",
            "last_name": "BABAKHINA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.