Oleksandr Sergyeyev, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

549738 Issued in NY

Practice address

455 Leverett Ave
Staten Island, NY 10308-1920

Phone

(917) 862-5215

Fax

(718) 347-4643

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Leroy Herbert, MD,PC

  • Nephrology Physician
  • New York, NY
  • NPI 1649461757
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114053568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TULIP AVENUE",
            "address_2": "PO BOX 20838",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110020838",
            "telephone_number": "917-862-5215",
            "fax_number": "718-347-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LEVERETT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081920",
            "telephone_number": "917-862-5215",
            "fax_number": "718-347-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGYEYEV",
        "first_name": "OLEKSANDR",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "549738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine Marie Serdaros, OTR/L
• Vlad Serebryany
• Serenity Anesthesia
• Tatyana Sergeyeva
• Brianna Maureen Sergio, M.S.
• Danielle Michele Serini, DC
• Jessica Serino, P.A.
• Vincent Serino Jr., MSN, RN, AGACNP-BC
• Rosemarie Serio, PA
• Lauren Serpico, M.S., CCC-SLP

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.