Organization Active NPI

NK Family Health NP PC

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1639919723
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NK FAMILY HEALTH NP PC
Practice address
796 Castleton Avenue
Staten Island, NY 10310-1800
Phone
(347) 424-2806
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Natallia Kleshchanka, NPNPI 1942780390
Title
Owner
Phone
(347) 424-2806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

796 Castleton Avenue
Staten Island, NY 10310-1800

Mailing address

796 Castleton Avenue
Staten Island, NY 10310-1800
Phone (347) 424-2806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240904002071 NY Part B Supplier - Clinic/Group Practice 0840730974 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2326197NK Family Health NP PC796 Castleton Ave, Staten Island, NY 10310Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1639919723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 CASTLETON AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101800",
            "telephone_number": "347-424-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 CASTLETON AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101800",
            "telephone_number": "347-424-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK FAMILY HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "KLESHCHANKA",
        "authorized_official_first_name": "NATALLIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-424-2806",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.