Individual provider Active NPI

Natalya Kozlov, RN

  • Administrator Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1700460847
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
526919 Issued in NY
Practice address
2865 Brighton 3Rd St
Brooklyn, NY 11235-6762
Phone
(718) 891-4400
Fax
(718) 484-1235
NPI assigned
May 5, 2021
Last updated
May 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 526919 NY Primary

Addresses

Primary practice location

2865 Brighton 3Rd St
Brooklyn, NY 11235-6762

Mailing address

2865 Brighton 3Rd St
Brooklyn, NY 11235-6762
Phone (718) 891-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkozlov@cassenacare.com

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
526919NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1700460847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356762",
            "telephone_number": "718-891-4400",
            "fax_number": "718-484-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356762",
            "telephone_number": "718-891-4400",
            "fax_number": "718-484-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOV",
        "first_name": "NATALYA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "526919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkozlov@cassenacare.com",
            "affiliation": "N",
            "address_1": "2865 Brighton 3rd St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112356762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 5, 2021; 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.