Yelena Sadykova, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

383303 Issued in NY

Practice address

1358 56TH St
Brooklyn, NY 11219-4616

Phone

(718) 851-7100

Fax

(718) 437-6397

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

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.

• Jewish Board of Family and Children'S Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1427222850
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1164708186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WESTMINSTER RD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194616",
            "telephone_number": "718-851-7100",
            "fax_number": "718-437-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADYKOVA",
        "first_name": "YELENA",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "619939-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Sadowsky, MS CCC-SLP
• Robyn Sadowsky, LMSW
• Ali Sadr, MD
• Antonios Sadrak
• Gulnoza Sadriddinova
• Jasleen Sadyora
• Nathaniel A Saed, DMD
• Naveal Saeed
• Tayyaba Saeed
• Behtash Saeidi, M.D.

• Pediatric Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.