Individual provider Active NPI

Katherine Maychenko, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1700527025
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348578 Issued in NY
Practice address
3903 Nostrand Ave Apt 2D
Brooklyn, NY 11235-2133
Phone
(917) 860-0298
NPI assigned
Apr 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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 348578 NY Primary

Addresses

Primary practice location

3903 Nostrand Ave Apt 2D
Brooklyn, NY 11235-2133

Mailing address

3903 Nostrand Ave Apt 2D
Brooklyn, NY 11235-2133
Phone (917) 860-0298

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
I20220701001799 NY Practitioner - Nurse Practitioner 5092195420 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Mar 19, 2022 Accepting new patients
Prospect Park Operating, LLC CurrentSince Apr 7, 2022 Accepting new patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1455 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 252-9800

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1700527025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 NOSTRAND AVE APT 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352133",
            "telephone_number": "917-860-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 NOSTRAND AVE APT 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352133",
            "telephone_number": "917-860-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCHENKO",
        "first_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.