Individual provider Active NPI

Alina Boshakova, RN

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1356656763
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306361 Issued in NY
Practice address
126 Corbin PL
Brooklyn, NY 11235-4811
Phone
(347) 729-5904
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 569215 NY
Adult Health Nurse Practitioner 363LA2200X F306361 NY Primary
Gerontology Nurse Practitioner 363LG0600X F340890 NY

Addresses

Primary practice location

126 Corbin PL
Brooklyn, NY 11235-4811

Mailing address

126 Corbin PL
Brooklyn, NY 11235-4811
Phone (347) 729-5904

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
I20131028000075 NY Practitioner - Nurse Practitioner 1658565346 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
Telehealth
Offers telehealth services
Group practices
Modern Medical Care PCGroup PAC ID 8224219860, 6 clinicians

Practice addresses (Care Compare)

2829 Ocean Pkwy
Suite 2
Brooklyn, NY 11235-7859
Phone (718) 616-0500

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.24

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
569215NYMDRegistered Nurse
F340890NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Medical Care PC CurrentSince Dec 1, 2020 Accepting new patients
Shore Medical PC CurrentSince Nov 1, 2014 Accepting new patients
RN Family Practice PC Past Accepting new patients

Locations

2829 Ocean Pkwy
Ste 2
Brooklyn, NY 11235
Phone (718) 891-6500

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

2076 Hylan Blvd
Staten Island, NY 10306
Phone (347) 702-4173

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1356656763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CORBIN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354811",
            "telephone_number": "347-729-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CORBIN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354811",
            "telephone_number": "347-729-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHAKOVA",
        "first_name": "ALINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "569215",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306361",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.