Organization Active NPI

Advanced Practice of Medicine PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1689708190
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207452 Issued in NY
Legal business name
ADVANCED PRACTICE OF MEDICINE PC
Practice address
3101 Ocean Pkwy Apt 1E
Brooklyn, NY 11235-8412
Phone
(718) 942-5385
Fax
(718) 942-5377
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Yevgeniya Rabovetskaya
Title
MD
Phone
(718) 942-5385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 207452 NY Primary

Addresses

Primary practice location

3101 Ocean Pkwy Apt 1E
Brooklyn, NY 11235-8412

Mailing address

3101 Ocean Pkwy Apt 1E
Brooklyn, NY 11235-8412
Phone (718) 942-5385

Other identifiers 14

IdentifierTypeStateIssuer
01893030MedicaidNY
060609000000OtherINCENTER CARE
182219OtherNYDC1707
G82836OtherNYMULTIPLAN
207452OtherNYHIP
PR51792530001OtherNYCIGNA
207452A79OtherNYHEALTH FIRST
2386025OtherNYAETNA HMO
BK0093510OtherNYAMERICHOICE
219AK2OtherNYEMPIRE BCBS
P1874886OtherNYOXFORD
RY7452OtherNYATLANTIS
2514433OtherNYGHI PPO
3C3729OtherNYHEALTHNET

National Provider Directory

National Provider Directory

Locations

462 Ocean Pkwy
Brooklyn, NY 11218
Phone (718) 856-6010

Practitioners & affiliated clinicians

Practitioners 3

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1689708190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PKWY APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358412",
            "telephone_number": "718-942-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PKWY APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358412",
            "telephone_number": "718-942-5385",
            "fax_number": "718-942-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRACTICE OF MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "RABOVETSKAYA",
        "authorized_official_first_name": "YEVGENIYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-942-5385"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "207452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01893030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTER CARE",
            "identifier": "060609000000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC1707",
            "identifier": "182219",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "G82836",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "207452",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PR51792530001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "207452A79",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2386025",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "BK0093510",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "219AK2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1874886",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "RY7452",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "2514433",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C3729",
            "state": "NY"
        }
    ],
    "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 Jan 6, 2010; 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.