Organization Active NPI

Elisheva Tratner Nurse Practitioner in Adult Health PLLC

  • Primary Care Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1215647037
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ELISHEVA TRATNER NURSE PRACTITIONER IN ADULT HEALTH PLLC
Practice address
654 Nutley PL
Valley Stream, NY 11581-3028
Phone
(917) 502-6482
NPI assigned
Dec 2, 2022
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Mrs. Elisheva Tratner, NPNPI 1144818337
Title
Provider
Phone
(917) 502-6482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

654 Nutley PL
Valley Stream, NY 11581-3028

Mailing address

654 Nutley PL
Valley Stream, NY 11581-3028

Other identifiers 1

IdentifierTypeStateIssuer
F309044-1OtherNYNURSE PRACTITIONER LIC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eli@vitaleyes.care

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230726000592 NY Part B Supplier - Clinic/Group Practice 9830550714 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: eli@vitaleyes.care

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1215647037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 NUTLEY PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 NUTLEY PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813028",
            "telephone_number": "917-502-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISHEVA TRATNER NURSE PRACTITIONER IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "TRATNER",
        "authorized_official_first_name": "ELISHEVA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "917-502-6482",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER  LIC",
            "identifier": "F309044-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eli@vitaleyes.care",
            "affiliation": "N",
            "address_1": "654 Nutley Pl",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115813028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.