Individual provider Active NPI

Svetlana Matsko, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1265069629
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345677 Issued in NY
Practice address
2752 Ocean Ave Apt 4D
Brooklyn, NY 11229-4725
Phone
(917) 755-8577
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F345677 NY Primary

Addresses

Primary practice location

2752 Ocean Ave Apt 4D
Brooklyn, NY 11229-4725

Mailing address

2752 Ocean Ave Apt 4D
Brooklyn, NY 11229-4725
Phone (917) 755-8577

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL BROOKLYN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F345677NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1265069629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 OCEAN AVE APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294725",
            "telephone_number": "917-755-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 OCEAN AVE APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294725",
            "telephone_number": "917-755-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSKO",
        "first_name": "SVETLANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "BROOKLYN",
            "affiliation": "N",
            "address_1": "2752 Ocean Ave Apt 4D",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112294725",
            "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 Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.