Individual provider Active NPI

Mina Danaeifard, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1700719887
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358841 Issued in NY
Practice address
1646 E 23Rd St
Brooklyn, NY 11229-1519
Phone
(929) 830-5111
NPI assigned
Jun 8, 2026
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 358841 NY Primary

Addresses

Primary practice location

1646 E 23Rd St
Brooklyn, NY 11229-1519

Mailing address

1646 E 23Rd St
Brooklyn, NY 11229-1519
Phone (929) 830-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Brooklyn, NY 11229
Phone (347) 409-3657

1646 E 23Rd St
Brooklyn, NY 11229-1519

516 Pennsfield PL
Suite 214
Thousand Oaks, CA 91360-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1700719887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291519",
            "telephone_number": "929-830-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 E 23RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291519",
            "telephone_number": "929-830-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAEIFARD",
        "first_name": "MINA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.