Individual provider Active NPI

Alla Prysyazhnyuk

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1528531753
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
695230 Issued in NY
Practice address
3066 Brighton 4TH St Apt 301
Brooklyn, NY 11235-6587
Phone
(917) 780-0424
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 695230 NY Primary

Addresses

Primary practice location

3066 Brighton 4TH St Apt 301
Brooklyn, NY 11235-6587

Mailing address

3066 Brighton 4TH St Apt 301
Brooklyn, NY 11235-6587

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
695230NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1528531753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 BRIGHTON 4TH ST APT 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 BRIGHTON 4TH ST APT 301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356587",
            "telephone_number": "917-780-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYSYAZHNYUK",
        "first_name": "ALLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "695230",
            "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 Jan 10, 2019; 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.