Park East NP in Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PARK EAST NP IN PSYCHIATRY

Practice address

1735 York Ave Apt 29E
New York, NY 10128-6861

Phone

(347) 415-0774

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Ilana Khononov, NPNPI 1992447635

Title

Owner

Phone

(347) 415-0774

Specialties & licenses 1

Addresses

Tax ID family

Park East NP in Psychiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Park East NP in Psychiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1700725769
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilana Khononov

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1992447635
  NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1477321305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 YORK AVE APT 29E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286861",
            "telephone_number": "347-415-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 YORK AVE APT 29E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286861",
            "telephone_number": "347-415-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK EAST NP IN PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "KHONONOV",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-415-0774",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park East Endocrinology PC
• Park East Gynecology & Surgery PC
• Park East Imaging, P.C.
• Park East Medical PLLC
• Park East Medical Pulmonary Medicine and Critical Care, P.C.
• Park East NP in Psychiatry
• Park East Oral & Maxillofacial Surgery PC
• Park East Pain Management Suite, PLLC
• Park East Plastic Surgery PC
• Park East Psychological Assoc, P.C.

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.