Active NPI
Svetlana Mironenko, N.P.
- Adult Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1730561697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307313-1
- Practice address
- 165 Bay 20TH St
Brooklyn, NY 11214-4654 - Phone
- (718) 336-8855
- Fax
- (718) 336-4366
- NPI assigned
- Jun 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307313-1 | NY | Primary |
Addresses
Primary practice location
165 Bay 20TH St
Brooklyn, NY 11214-4654
Mailing address
165 Bay 20TH St
Brooklyn, NY 11214-4654
Phone (718) 336-8855
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smironenko358382@nyumc.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
207 E 84TH St
New York, NY 10028-2972
Phone (646) 754-3300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F307313-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients |
Locations
525 E 68th St
Rm J314
New York, NY 10065
Phone (212) 746-4158
1315 York Ave
Fl 1
New York, NY 10021
Phone (212) 746-4014
207 E 84th St
New York, NY 10028
Phone (646) 754-3300
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- New York, NY
- NPI 1932143815
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1730561697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 BAY 20TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144654",
"telephone_number": "718-336-8855",
"fax_number": "718-336-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 BAY 20TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144654",
"telephone_number": "718-336-8855",
"fax_number": "718-336-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRONENKO",
"first_name": "SVETLANA",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307313-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smironenko358382@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "207 E 84th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100282972",
"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 Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.