Vadim Y Korol, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

304415 Issued in NY

Practice address

390 Howard Ave
Franklin Square, NY 11010-3341

Phone

(718) 869-9060

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seth Benkel MD PLLCGroup PAC ID 8325331317, 14 clinicians

Avant-Garde Psychiatric Consulting PLLCGroup PAC ID 1456613488, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Avant-Garde Psychiatric Consulting PLLC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1255849949
  Medicare reassignment Care Compare group NPD
• Seth Benkel, MD, PLLC

  dba Platinum Healthcare

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1518313188
  Medicare reassignment Care Compare group NPD
• Vadim Korol NP in Psychiatry PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin Square, NY
  • NPI 1992260889
  Medicare reassignment NPD Authorized official
• Ap Integrated Medical Care PC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1316019219
  Medicare reassignment NPD
• MJHS Medical Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013208602
  Medicare reassignment NPD
• Seniorstat Psychiatric PC

  • Psychiatry Physician
  • Great Neck, NY
  • NPI 1497814933
  Medicare reassignment
• Alexander Shaknovich, M.D., P.C.

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1689761264
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1417033812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 HOWARD AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103341",
            "telephone_number": "718-869-9060",
            "fax_number": "718-714-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 HOWARD AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103341",
            "telephone_number": "718-869-9060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Shaknovich Cardiovascular Center",
            "address_2": "3049 Ocean Pkwy, 2nd floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11235",
            "country_code": "US",
            "telephone_number": "718-368-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOROL",
        "first_name": "VADIM",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401057",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Kim, DPT
• Arlene Klein, COUNSELOR
• Lauren J Klein, RPA-C
• Mary Ann Klein, ED.D
• Ilene Kopstein, PH.D.
• Muriel Sayaka Kosaka
• Robert Kreuscher, D.D.S.
• Roshan Mathai Kurian, REGISTERED NURSE
• Rachel Kushner, MD
• Dorah Labatte

• Adult Health Nurse Practitioner in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.