Individual provider Active NPI

Anna Rafalovych

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1366196750
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348732-01 Issued in NY
Practice address
815 Atlantic Ave Ste 201
Brooklyn, NY 11238-7663
Phone
(718) 635-5350
Fax
(718) 635-5358
NPI assigned
Feb 4, 2022
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 F348732-01 NY Primary

Addresses

Primary practice location

815 Atlantic Ave Ste 201
Brooklyn, NY 11238-7663

Mailing address

815 Atlantic Ave Ste 201
Brooklyn, NY 11238-7663
Phone (718) 635-5350

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
I20230720000124 NY Practitioner - Nurse Practitioner 9830559046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dailey and Burack Medical Associates PCGroup PAC ID 6608856455, 9 clinicians

Practice addresses (Care Compare)

535 Clinton Ave
BSMT
Brooklyn, NY 11238-6589
Phone (646) 962-9087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F348732-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dailey & Burack Medical Associates PC CurrentSince Oct 10, 2024 Accepting new patients

Locations

535 Clinton Ave
Bsmt
Brooklyn, NY 11238
Phone (646) 962-9087

Networks

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

Interoperability endpoints

  • Direct secure messaging: anna.rafalovych.1@26654.direct.athenahealth.com

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, 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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1366196750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 ATLANTIC AVE STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112387663",
            "telephone_number": "718-635-5350",
            "fax_number": "718-635-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 ATLANTIC AVE STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112387663",
            "telephone_number": "718-635-5350",
            "fax_number": "718-635-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFALOVYCH",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348732-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.