Active NPI
Valeriya Perebeynos
- Family Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1689152977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F343332-1
- Practice address
- 4360 Hylan Blvd
Staten Island, NY 10312-6533 - Phone
- (718) 818-4360
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F343332-1 | NY | Primary |
Addresses
Primary practice location
4360 Hylan Blvd
Staten Island, NY 10312-6533
Mailing address
21 Sabrina LN
Staten Island, NY 10304-2946
Phone (646) 327-4512
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 619942-1 | Other | NY | LICENSE NUMBER |
| F343332-1 | Other | NY | LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F343332-1 | NY | MD | Family Nurse Practitioner |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1689152977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SABRINA LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042946",
"telephone_number": "646-327-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126533",
"telephone_number": "718-818-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREBEYNOS",
"first_name": "VALERIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F343332-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "619942-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "F343332-1",
"state": "NY"
}
],
"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 Jul 30, 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.