Inna Yurkovetskaya, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

197264 Issued in NY

Practice address

1120 Brighton Beach Ave
1 Z
Brooklyn, NY 11235-5572

Phone

(718) 757-0187

Fax

(718) 667-2424

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nys Office of Mental Health

  • Psychiatric Hospital
  • Staten Island, NY
  • NPI 1164589602
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740350339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OCEANA DR W",
            "address_2": "#5 C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356651",
            "telephone_number": "718-757-0187",
            "fax_number": "718-667-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 BRIGHTON BEACH AVE",
            "address_2": "1 Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355572",
            "telephone_number": "718-757-0187",
            "fax_number": "718-667-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKOVETSKAYA",
        "first_name": "INNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "197264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016141199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuri Birbrayer Physician PC
• Yuri Fink Medical PC
• Yuriy Khanimov Internal Medicine PC
• Yuriy Kheyfits
• Yuriy Markhasin OT PC
• Ezra Yurman-Whyde, LCSW
• Michael Yurman, RPH
• Cagri Yurtsever, MD
• Yury Kotlyar DDS PC
• Yury Rotshteyn DPM PC

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.