Individual provider Active NPI

Lesya Ivankiv, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1629859459
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352887 Issued in NY
Practice address
2758 Ocean Ave Apt 1C
Brooklyn, NY 11229-4753
Phone
(646) 545-0006
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 352887 NY Primary

Addresses

Primary practice location

2758 Ocean Ave Apt 1C
Brooklyn, NY 11229-4753

Mailing address

2758 Ocean Ave Apt 1C
Brooklyn, NY 11229-4753
Phone (646) 545-0006

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
I20240124001911 NY Practitioner - Nurse Practitioner 7214380435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Executive Medical Care PCGroup PAC ID 2567551849, 9 clinicians

Practice addresses (Care Compare)

3049 Brighton 6TH St
Cu1
Brooklyn, NY 11235-3020
Phone (718) 934-0322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feel Good Medical PC CurrentSince Aug 1, 2025 Accepting new patients
Executive Medical Care,P.C. CurrentSince Dec 12, 2023 Accepting new patients
Oleg Karpenko Podiatry P.C. PastSince Dec 12, 2023 Accepting new patients

Locations

3039 Ocean Pkwy
Ste 2A
Brooklyn, NY 11235
Phone (718) 975-4466

3049 Brighton 6th St
Ste 1
Brooklyn, NY 11235
Phone (718) 934-0322

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1629859459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 OCEAN AVE APT 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294753",
            "telephone_number": "646-545-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 OCEAN AVE APT 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294753",
            "telephone_number": "646-545-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANKIV",
        "first_name": "LESYA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.