Individual provider Active NPI

Chana Vaiselberg

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1508235714
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340044 Issued in NY
Practice address
913 Avenue L
Brooklyn, NY 11230-4707
Phone
(718) 859-8391
NPI assigned
Sep 17, 2015
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 340044 NY Primary

Addresses

Primary practice location

913 Avenue L
Brooklyn, NY 11230-4707

Mailing address

358 Kingston Ave
Brooklyn, NY 11213-4332
Phone (718) 778-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Teitelbaum, MD PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

913 Avenue L
Brooklyn, NY 11230
Phone (718) 859-8391

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1508235714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 KINGSTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134332",
            "telephone_number": "718-778-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304707",
            "telephone_number": "718-859-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAISELBERG",
        "first_name": "CHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.