Individual provider Active NPI

Lia Kostrikov, FNP

  • Family Nurse Practitioner
  • Babylon, NY
National Provider Identifier
1457696734
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349407-01 Issued in NY
Practice address
400 W Main St Ste 211
Babylon, NY 11702-3009
Phone
(212) 283-3000
NPI assigned
Nov 28, 2012
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F349407-01 NY Primary
Registered Nurse 163W00000X 654324 NY

Addresses

Primary practice location

400 W Main St Ste 211
Babylon, NY 11702-3009

Mailing address

400 W Main St Ste 211
Babylon, NY 11702-3009
Phone (212) 283-3000

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
I20240802003067 NY Practitioner - Nurse Practitioner 0749727162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

44 W Main St
Patchogue, NY 11772-3002
Phone (212) 283-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
654324NYMDRegistered Nurse
F349407-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

385 Merrick Rd
Amityville, NY 11701

400 W Main St
Ste 211
Babylon, NY 11702
Phone (631) 422-6066

44 W Main St Ste 211
Babylon, NY 11702

229 7th St
Ste 105
Garden City, NY 11530
Phone (516) 268-4144

604 E Park Ave
Long Beach, NY 11561
Phone (516) 432-0011

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

44 W Main St
Patchogue, NY 11772

Networks

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

Interoperability endpoints

  • Direct secure messaging: lia.kostrikov@schweigerderm.emadirect.md

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": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1457696734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 211",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "212-283-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 211",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "212-283-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTRIKOV",
        "first_name": "LIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349407-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "654324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.