DK Family Health NP PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DK FAMILY HEALTH NP PC

Practice address

3065 Brighton 7TH St Ste 2
Brooklyn, NY 11235-5997

Phone

(718) 576-2012

Fax

(718) 576-1627

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Diana Korneeva, MS FNPNPI 1295442507

Title

President

Phone

(347) 449-3691

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Korneeva, MS, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1295442507
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1720787823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BRIGHTON 2ND PL APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 BRIGHTON 7TH ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355997",
            "telephone_number": "718-576-2012",
            "fax_number": "718-576-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DK FAMILY HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "KORNEEVA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-449-3691",
        "authorized_official_credential": "MS FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.