Individual provider Active NPI

Oksana Yovchenko, RN

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1508464264
Registry record updated Dec 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311458 Issued in NY
Practice address
1811 Hone Ave
Bronx, NY 10461-1406
Phone
(516) 499-9016
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 706141 NY
Adult Health Nurse Practitioner 363LA2200X 311458 NY Primary

Addresses

Primary practice location

1811 Hone Ave
Bronx, NY 10461-1406

Mailing address

6295 Saunders St Apt 4N
Rego Park, NY 11374-1573
Phone (347) 998-5988

Other practice location 1

211 E 79th St
New York, NY 10075-0819
Phone (212) 879-1600 ext. 1336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
706141NYMDRegistered Nurse
311458NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1508464264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6295 SAUNDERS ST APT 4N",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741573",
            "telephone_number": "347-998-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HONE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611406",
            "telephone_number": "516-499-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E 79th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100750819",
            "country_code": "US",
            "telephone_number": "212-879-1600 x1336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOVCHENKO",
        "first_name": "OKSANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "706141",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.