Individual provider Active NPI

Yelizaveta Ayzenshtat, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1679062657
Registry record updated May 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342861 Issued in NY
Practice address
1761 E 12TH St
Brooklyn, NY 11229-1013
Phone
(718) 336-1111
NPI assigned
May 6, 2018
Last updated
May 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2018

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 342861 NY Primary

Addresses

Primary practice location

1761 E 12TH St
Brooklyn, NY 11229-1013

Mailing address

1725 Stillwell Ave Apt C
Brooklyn, NY 11223-1006
Phone (347) 989-5179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
342861NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Sunshine Pediatric, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yelizavetaayzenshtat@mai.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525564800000",
    "number": "1679062657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 STILLWELL AVE APT C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231006",
            "telephone_number": "347-989-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291013",
            "telephone_number": "718-336-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYZENSHTAT",
        "first_name": "YELIZAVETA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-06",
        "last_updated": "2018-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.