Individual provider Active NPI

Katerina Safonova, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1528568011
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308584 Issued in NY
Practice address
2401 Brigham St
Brooklyn, NY 11235-1003
Phone
(917) 538-8914
NPI assigned
Feb 20, 2018
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F308584 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F407566 NY

Addresses

Primary practice location

2401 Brigham St
Brooklyn, NY 11235-1003

Mailing address

2401 Brigham St
Brooklyn, NY 11235-1003
Phone (917) 538-8914

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
I20180906000883 NY Practitioner - Nurse Practitioner 2567712995 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Modern Medical Care PCGroup PAC ID 8224219860, 6 clinicians
Empire Psychiatric Services,P.C.Group PAC ID 8123919032, 3 clinicians

Practice addresses (Care Compare)

2076 Hylan Blvd
Staten Island, NY 10306-3427
Phone (718) 979-4865

2502 86TH St
FL 3
Brooklyn, NY 11214-4440
Phone (718) 236-0700

749 Ocean Pkwy
Brooklyn, NY 11230-7813
Phone (718) 645-0500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.24

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F308584NYMDAdult Health Nurse Practitioner
F407566NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Sep 12, 2018 Accepting new patients
Katerina Safonova NP Adult Health Psychiatric/Mental Health Current Accepting new patients
Modern Medical Care PC CurrentSince Aug 8, 2018 Accepting new patients
Shore Medical PC CurrentSince Aug 8, 2018 Accepting new patients
Empire Psychiatric Services,P.C. CurrentSince Jan 1, 2025 Accepting new patients

Locations

229 Parkville Ave
Ste 1
Brooklyn, NY 11230
Phone (718) 236-0700

2502 86th St
Fl 3
Brooklyn, NY 11214
Phone (347) 391-4205

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

300 Community Dr
Manhasset, NY 11030

100 E 77th St
Fl 3
New York, NY 10075
Phone (212) 434-2685

2076 Hylan Blvd
Staten Island, NY 10306
Phone (347) 702-4173

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: katerinasafonova@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1528568011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BRIGHAM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351003",
            "telephone_number": "917-538-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRIGHAM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351003",
            "telephone_number": "917-538-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFONOVA",
        "first_name": "KATERINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308584",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F407566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.