Organization Active NPI

Nova Medical Arts PC

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1134519556
Registry record updated Jan 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
268070 Issued in NY
Legal business name
NOVA MEDICAL ARTS PC
Practice address
520 Neptune Ave
Brooklyn, NY 11224-4004
Phone
(718) 333-9070
Fax
(718) 333-9060
NPI assigned
Jan 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2015

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

Authorized official

Name
Inessa Svistunova, DO
Title
President
Phone
(917) 705-3664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 268070 NY Primary

Addresses

Primary practice location

520 Neptune Ave
Brooklyn, NY 11224-4004

Mailing address

170 Avenue C
Suite 6E
New York, NY 10009-4206
Phone (917) 705-3664

Other identifiers 1

IdentifierTypeStateIssuer
1457519126OtherNYNPI

National Provider Directory

National Provider Directory

Locations

2 W End Ave
Ste 2
Brooklyn, NY 11235
Phone (718) 333-9070

520 Neptune Ave
Brooklyn, NY 11224
Phone (212) 988-2924

NPI Registry JSON

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422057600000",
    "number": "1134519556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AVENUE C",
            "address_2": "SUITE 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094206",
            "telephone_number": "917-705-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244004",
            "telephone_number": "718-333-9070",
            "fax_number": "718-333-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL ARTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A",
        "authorized_official_last_name": "SVISTUNOVA",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-705-3664",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "268070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457519126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; 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.