Active NPI
Yuliya Panina
- Adult Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 310976
- Practice address
- 440 Atlantic Ave
Brooklyn, NY 11217-2143 - Phone
- (718) 797-5504
- NPI assigned
- Oct 20, 2022
- Last updated
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 310976 | NY | Primary |
Addresses
Primary practice location
440 Atlantic Ave
Brooklyn, NY 11217-2143
Mailing address
183 31St St Apt 1
Brooklyn, NY 11232-1802
Phone (917) 474-6172
Other practice location 1
183 31st St Apt 1
Brooklyn, NY 11232-1802
Phone (917) 474-6172
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | eClinicalWorks | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 Ave X
Brooklyn, NY 11223-5940
Phone (718) 336-8855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310976 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobby Buka, M.D., P.C. | Current | Accepting new patients | |
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| Children's Skin and Laser, PC | Current | Accepting new patients | |
| Premium Health Inc | Current | Accepting new patients | |
| Atlas Infectious Disease Practice PLLC | Past | Accepting new patients | |
| Derm Specs of PA PLLC | Past | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients | |
| Out East Medical | Past | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients |
Locations
3179 Steinway St
Astoria, NY 11103
1163 Myrtle Ave
Brooklyn, NY 11206
260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855
4514 16th Ave
Brooklyn, NY 11204
Phone (718) 407-7300
620 Foster Ave
Brooklyn, NY 11230
620 Foster Ave
Ste 200
Brooklyn, NY 11230
Phone (718) 407-7300
1027 46th Ave
Fl 1
Long Island City, NY 11101
1425 2nd Ave
New York, NY 10021
2121 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (718) 534-8190
214 Sullivan St
New York, NY 10012
625 10th Ave
New York, NY 10036
3531 Long Beach Rd
Oceanside, NY 11572
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BFCDAA
Organizations & group practices 10
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.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Dermatology Physician
- New York, NY
- NPI 1134349954
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1609129402
-
dba Brooklyn Dermatology
- Pediatric Dermatology Physician
- Brooklyn, NY
- NPI 1265618532
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
-
- Infectious Disease Physician
- Atlantis, FL
- NPI 1326655846
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1528823507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1205553393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 31ST ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321802",
"telephone_number": "917-474-6172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172143",
"telephone_number": "718-797-5504"
}
],
"practiceLocations": [
{
"address_1": "183 31st St Apt 1",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112321802",
"country_code": "US",
"telephone_number": "917-474-6172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANINA",
"first_name": "YULIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "310976",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "eClinicalWorks",
"affiliation": "N",
"endpointDescription": "eClinicalWorks",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "440 Atlantic Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112172143",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.