Individual provider Active NPI

Vladimir Sokolinskiy

  • Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1336967132
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
355248 Issued in NY
Practice address
23 Hilldale CT
Staten Island, NY 10305-5104
Phone
(917) 655-1572
NPI assigned
Sep 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 355248 NY Primary

Addresses

Primary practice location

23 Hilldale CT
Staten Island, NY 10305-5104

Mailing address

23 Hilldale CT
Staten Island, NY 10305-5104

Other names 1

  • N/a N/a Other name

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
I20241106002252 NY Practitioner - Nurse Practitioner 0648704155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irina Novikov NP in Adult Health PCGroup PAC ID 9133658008, 2 clinicians

Practice addresses (Care Compare)

70 W Brighton Ave
Brooklyn, NY 11224-4900
Phone (917) 353-0823

Hospital & facility affiliations

  • Shining Star Home Health Care Home health agency, Brooklyn, NY, CCN 337440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
355248NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Irina Novikov NP in Adult Health PC CurrentSince Nov 19, 2024 Accepting new patients

Locations

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1336967132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HILLDALE CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HILLDALE CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055104",
            "telephone_number": "917-655-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLINSKIY",
        "first_name": "VLADIMIR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "355248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.