Active NPI
Victoria Marie Reesman, NP
- Adult Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 301797
- Practice address
- 6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081 - Phone
- (718) 238-2100
- Fax
- (718) 748-0863
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 301797 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 301797 | NY | Primary |
Addresses
Primary practice location
6010 Bay Pkwy Ste 901
Brooklyn, NY 11204-6081
Mailing address
530 1St Ave
Suite 5D
New York, NY 10016-6402
Phone (212) 263-3491
Other practice location 1
530 1st Ave
Suite 5D
New York, NY 10016-6402
Phone (212) 263-3491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02474275 | Medicaid | NY |
Other names 1
- Victoria Marie Kyriakou
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301797 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Sheryl a Pearl MD PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Fara Stricker Family Health Nurse Practitioner, P.C. | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100
530 1st Ave
Ste 5D
New York, NY 10016
Phone (212) 263-3491
530 1st Ave
#5D
New York, NY 10016
Phone (212) 263-3491
2914 Lincoln Ave
Oceanside, NY 11572
Phone (516) 317-1681
11 Franklin Pl
Woodmere, NY 11598
Phone (516) 341-0151
Organizations & group practices 4
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.
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- NPI 1003983321
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Infusion Therapy Clinic/Center
- Rockville Centre, NY
- NPI 1669162970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1235104076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 1ST AVE",
"address_2": "SUITE 5D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 BAY PKWY STE 901",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046081",
"telephone_number": "718-238-2100",
"fax_number": "718-748-0863"
}
],
"practiceLocations": [
{
"address_1": "530 1st Ave",
"address_2": "Suite 5D",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-3491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REESMAN",
"first_name": "VICTORIA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "301797",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "301797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02474275",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "KYRIAKOU",
"middle_name": "MARIE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
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 May 31, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.