Individual provider Active NPI

Irina Natalenko, M.D.

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1619925344
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2215731 Issued in NY
Practice address
407 Beach 20TH St
Far Rockaway, NY 11691-3647
Phone
(718) 471-7010
Fax
(718) 337-1548
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2215731 NY Primary

Addresses

Primary practice location

407 Beach 20TH St
Far Rockaway, NY 11691-3647

Mailing address

6 Holiday CT
Valley Stream, NY 11581-2931
Phone (516) 791-4748

Other identifiers 1

IdentifierTypeStateIssuer
02200282MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000081 NY Practitioner - Internal Medicine 6800834409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedarhurst Medical Associates PCGroup PAC ID 7113818212, 2 clinicians

Practice addresses (Care Compare)

407 Beach 20TH St
Far Rockaway, NY 11691-3647
Phone (718) 471-7010

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395
  • Bezalel Rehabilitation and Nursing Center Nursing home, Far Rockaway, NY, CCN 335666
  • Beach Gardens Rehabilitation and Nursing Center Nursing home, Far Rockaway, NY, CCN 335682
  • Beacon Rehabilitation and Nursing Center Nursing home, Far Rockaway, NY, CCN 335726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2215731NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gramercy Medical Services P.C. Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
My Medical PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Visiting Services, LLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Opop, LLC Past Accepting new patients
Episcopal Health Services Inc Past Accepting new patients
Hendon Garden Center LLC Past Accepting new patients
Bezalel Nursing Home Company Past Accepting new patients
Peyman Younesi MD PLLC Internal Medicine Past Accepting new patients
St. John'S Episcopal Hospital Past Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

3010 W 33rd St
Brooklyn, NY 11224
Phone (347) 713-8648

431 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2700

13916 91st Ave
Jamaica, NY 11435
Phone (718) 454-8556

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

Networks

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

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1619925344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOLIDAY CT",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812931",
            "telephone_number": "516-791-4748",
            "fax_number": "718-337-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913647",
            "telephone_number": "718-471-7010",
            "fax_number": "718-337-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATALENKO",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2215731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02200282",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.