Individual provider Active NPI

Mikhail Shvarts

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1285061234
Registry record updated Oct 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338213-1 Issued in NY
Practice address
1492 E 12TH St Apt 2a
Brooklyn, NY 11230-6698
Phone
(917) 560-4565
NPI assigned
Oct 6, 2013
Last updated
Oct 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2013

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 338213-1 NY Primary

Addresses

Primary practice location

1492 E 12TH St Apt 2a
Brooklyn, NY 11230-6698

Mailing address

1492 E 12TH St Apt 2a
Brooklyn, NY 11230-6698

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
I20140117000450 NY Practitioner - Nurse Practitioner 3476781550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boro Park Operating Co LLCGroup PAC ID 3577751320, 7 clinicians

Practice addresses (Care Compare)

4915 10TH Ave
Brooklyn, NY 11219-3301
Phone (718) 851-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338213-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boro Park Operating Co LLC CurrentSince Dec 24, 2018 Accepting new patients
Shvartsfnp Inc CurrentSince Oct 1, 2021 Accepting new patients
Boro Park Operating Co LLC Past Accepting new patients

Locations

4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381017600000",
    "number": "1285061234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 E 12TH ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 E 12TH ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306698",
            "telephone_number": "917-560-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHVARTS",
        "first_name": "MIKHAIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-06",
        "last_updated": "2013-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338213-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.