Individual provider Active NPI

Svetlana Karshigeyeva

  • Family Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1558860395
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339102 Issued in NY
Practice address
17901 80TH Dr
Jamaica, NY 11432-1458
Phone
(917) 291-9448
NPI assigned
Feb 7, 2018
Last updated
Feb 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339102 NY Primary
Registered Nurse 163W00000X 596435 NY

Addresses

Primary practice location

17901 80TH Dr
Jamaica, NY 11432-1458

Mailing address

17901 80TH Dr
Jamaica, NY 11432-1458
Phone (917) 291-9448

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
I20180430000937 NY Practitioner - Nurse Practitioner 7810251873 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
True North Medical at North Suffolk, PLLCGroup PAC ID 0345618088, 19 clinicians

Practice addresses (Care Compare)

6080 Jericho Tpke
Commack, NY 11725-2850
Phone (631) 364-9119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
596435NYMDRegistered Nurse
339102NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical at North Suffolk PLLC CurrentSince Nov 1, 2022 Accepting new patients
Advanced Medical Care PLLC Current Accepting new patients
SJ All Medical PC CurrentSince Feb 1, 2020 Accepting new patients
Sarakarsh Management Corp CurrentSince May 21, 2024 Accepting new patients
Advanced Medical Care CurrentSince May 4, 2024 Accepting new patients
Complete Neurological Care PC CurrentSince Jun 3, 2019 Accepting new patients

Locations

1117 Brighton Beach Ave
Fl 2
Brooklyn, NY 11235
Phone (718) 261-8881

6080 Jericho Tpke
Commack, NY 11725
Phone (631) 462-2200

10124 Queens Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 261-8881

1010 Route 112
Ste 300
Port Jefferson Station, NY 11776
Phone (631) 364-9119

139 N Central Ave
Ste 2
Valley Stream, NY 11580
Phone (516) 887-8808

Networks

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

Organizations & group practices 7

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1558860395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 80TH DR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321458",
            "telephone_number": "917-291-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 80TH DR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321458",
            "telephone_number": "917-291-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARSHIGEYEVA",
        "first_name": "SVETLANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339102",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "596435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.