Active NPI
Irina Nurse Practitioner, LLC.
- Primary Care Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1285581793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- IRINA NURSE PRACTITIONER, LLC.
- Practice address
- 9867 Bustleton Ave Ste B
Philadelphia, PA 19115-2600 - Phone
- (267) 516-7746
- NPI assigned
- Mar 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irina Efraimovich
- Title
- Owner
- Phone
- (267) 516-7746
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
9867 Bustleton Ave Ste B
Philadelphia, PA 19115-2600
Mailing address
9867 Bustleton Ave Ste B
Philadelphia, PA 19115-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1285581793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9867 BUSTLETON AVE STE B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9867 BUSTLETON AVE STE B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152600",
"telephone_number": "267-516-7746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRINA NURSE PRACTITIONER, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-13",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "EFRAIMOVICH",
"authorized_official_first_name": "IRINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-516-7746"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.