Individual provider Active NPI

Alex Volftsun

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1629951975
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F406929-01 Issued in NY
Practice address
1719 Quentin Rd Apt 2B
Brooklyn, NY 11229-1221
Phone
(917) 407-9531
NPI assigned
Jul 25, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F406929-01 NY Primary

Addresses

Primary practice location

1719 Quentin Rd Apt 2B
Brooklyn, NY 11229-1221

Mailing address

1719 Quentin Rd Apt 2B
Brooklyn, NY 11229-1221
Phone (917) 407-9531

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
I20251208002048 NY Practitioner - Nurse Practitioner 2264926252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Psychiatric Services PCGroup PAC ID 9436040102, 23 clinicians

Practice addresses (Care Compare)

225 Broadway
Suite 1605
New York, NY 10007-3756
Phone (212) 693-4010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F406929-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Psychiatric Services, P.C. CurrentSince Sep 22, 2025 Accepting new patients
A V NP in Psychiatry Services PLLC Psychiatric/Mental Health PastSince Jul 28, 2025 Accepting new patients

Locations

225 Broadway
Ste 1605
New York, NY 10007
Phone (212) 227-2225

Organizations & group practices 2

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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1629951975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 QUENTIN RD APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291221",
            "telephone_number": "917-407-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 QUENTIN RD APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291221",
            "telephone_number": "917-407-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLFTSUN",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406929-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.