Individual provider Active NPI

Natalia Selezneva, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1700161973
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355797 Issued in NY
Practice address
1 78TH St
Brooklyn, NY 11209-2810
Phone
(347) 782-3441
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 355797 NY Primary
Registered Nurse 163W00000X 499171 NY

Addresses

Primary practice location

1 78TH St
Brooklyn, NY 11209-2810

Mailing address

1 78TH St
Brooklyn, NY 11209-2810
Phone (347) 782-3441

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
I20250521001580 NY Practitioner - Nurse Practitioner 4587047253 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
499171NYMDRegistered Nurse
355797NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NVS Management Services LLC Multi-Specialty CurrentSince Apr 4, 2025 Accepting new patients

Locations

7803 4th Ave
Brooklyn, NY 11209
Phone (718) 491-4949

Organizations & group practices 1

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1700161973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 78TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092810",
            "telephone_number": "347-782-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 78TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092810",
            "telephone_number": "347-782-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELEZNEVA",
        "first_name": "NATALIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355797",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "499171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.