Individual provider Active NPI

Victoria Bakalova McCoy, RN

  • Registered Nurse
  • New York, NY
National Provider Identifier
1124346275
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
563319-1 Issued in NY
Practice address
80 Broad St
14TH Floor
New York, NY 10004-2209
Phone
(212) 867-6530
Fax
(212) 867-6535
NPI assigned
May 13, 2010
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 563319-1 NY Primary

Addresses

Primary practice location

80 Broad St
14TH Floor
New York, NY 10004-2209

Mailing address

80 Broad St
14TH Floor
New York, NY 10004-2209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
563319-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
All Metro Health Care Past Accepting new patients

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, 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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1124346275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BROAD ST",
            "address_2": "14TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BROAD ST",
            "address_2": "14TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042209",
            "telephone_number": "212-867-6530",
            "fax_number": "212-867-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALOVA MCCOY",
        "first_name": "VICTORIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "563319-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.