Individual provider Active NPI

Yuliya Panina

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1205553393
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310976 Issued in NY
Practice address
440 Atlantic Ave
Brooklyn, NY 11217-2143
Phone
(718) 797-5504
NPI assigned
Oct 20, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916003521 NY Practitioner - Nurse Practitioner 7214478494 Reassigns benefits to 4 organizations

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
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

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

LicenseStateTypeSpecialty
310976NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Buka, M.D., P.C. CurrentSince Oct 10, 2025 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Children's Skin and Laser, PC CurrentSince Oct 23, 2022 Accepting new patients
Premium Health Inc CurrentSince Sep 9, 2024 Accepting new patients
Atlas Infectious Disease Practice PLLC Past Accepting new patients
Derm Specs of PA PLLC PastSince Feb 25, 2024 Accepting new patients
Suny Downstate Medical Center PastSince Dec 1, 2025 Accepting new patients
Out East Medical PastSince Jun 15, 2021 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

  • FHIR API: https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.