Individual provider Active NPI

Oksana Avizova, NP

  • School Registered Nurse
  • Lynbrook, NY
National Provider Identifier
1215727680
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
7294458 Issued in NY
Practice address
360 Merrick Rd FL 1
Lynbrook, NY 11563-2526
Phone
(516) 887-3516
Fax
(516) 887-0331
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7294458 NY
School Registered Nurse 163WS0200X 7294458 NY Primary

Addresses

Primary practice location

360 Merrick Rd FL 1
Lynbrook, NY 11563-2526

Mailing address

144 San Juan Ave
Albertson, NY 11507-1725
Phone (917) 400-0719

Other practice location 1

144 San Juan Ave
Albertson, NY 11507-1725
Phone (917) 400-0719

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@linc.criterionsdirect.com Direct Long Island Neurology Consultants

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
I20260225002813 NY Practitioner - Nurse Practitioner 1052892213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

360 Merrick Rd
Suite 101
Lynbrook, NY 11563-2575

360 Merrick Rd FL
Suite 1
Lynbrook, NY 11563-2526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7294458NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Neurology Consultants CurrentSince Jan 5, 2026 Accepting new patients

Locations

360 Merrick Rd
Fl 1
Lynbrook, NY 11563
Phone (516) 887-3516

777 Sunrise Hwy
Ste 200
Lynbrook, NY 11563
Phone (516) 887-3516

Interoperability endpoints

  • Direct secure messaging: records@linc.criterionsdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1215727680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SAN JUAN AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071725",
            "telephone_number": "917-400-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRICK RD FL 1",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632526",
            "telephone_number": "516-887-3516",
            "fax_number": "516-887-0331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 San Juan Ave",
            "address_purpose": "LOCATION",
            "city": "Albertson",
            "state": "NY",
            "postal_code": "115071725",
            "country_code": "US",
            "telephone_number": "917-400-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVIZOVA",
        "first_name": "OKSANA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "7294458",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "7294458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@linc.criterionsdirect.com",
            "affiliation": "Y",
            "affiliationName": "Long Island Neurology Consultants",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "360 Merrick Rd Fl 1",
            "city": "Lynbrook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115632526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.