Individual provider Active NPI

Yisroel Shlomo Taub, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1609578756
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351102 Issued in NY
Practice address
4406 12TH Ave Apt 1
Brooklyn, NY 11219-2077
Phone
(718) 438-4400
NPI assigned
Mar 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 756353 NY
Family Nurse Practitioner 363LF0000X 351102 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 408017 NY

Addresses

Primary practice location

4406 12TH Ave Apt 1
Brooklyn, NY 11219-2077

Mailing address

1204 E 34TH St
Brooklyn, NY 11210-4139
Phone (929) 688-2995

Other practice location 1

506 6th St
Brooklyn, NY 11215-3609
Phone (929) 688-2995

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
I20241105002612 NY Practitioner - Nurse Practitioner 7911431549 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
756353NYMDEmergency Registered Nurse
408017NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Josef Schenker MD PC CurrentSince Sep 1, 2024 Accepting new patients
Boro Park Pediatric Associates, PLLC Past Accepting new patients
Premium Health Inc Past Accepting new patients

Locations

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

Networks

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1609578756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E 34TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104139",
            "telephone_number": "929-688-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 12TH AVE APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192077",
            "telephone_number": "718-438-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "929-688-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAUB",
        "first_name": "YISROEL",
        "middle_name": "SHLOMO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "756353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351102",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.