Individual provider Active NPI

Svetlana Tulchinskaya, FNP-C

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1265880579
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F340600 Issued in NY
Practice address
2801 E 11TH St Apt 4C
Brooklyn, NY 11235-5288
Phone
(917) 294-5282
Fax
(844) 878-6932
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F340600 NY Primary

Addresses

Primary practice location

2801 E 11TH St Apt 4C
Brooklyn, NY 11235-5288

Mailing address

2801 E 11TH St Apt 4C
Brooklyn, NY 11235-5288
Phone (917) 294-5282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123000667 NY Practitioner - Nurse Practitioner 4789963372 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Park One Medical, PC CurrentSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1265880579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E 11TH ST APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355288",
            "telephone_number": "917-294-5282",
            "fax_number": "844-878-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E 11TH ST APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355288",
            "telephone_number": "917-294-5282",
            "fax_number": "844-878-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULCHINSKAYA",
        "first_name": "SVETLANA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F340600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.