Organization Active NPI

Yuliya Vinokurova Medical Practice PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1740423433
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210853 Issued in NY
Legal business name
YULIYA VINOKUROVA MEDICAL PRACTICE PC
Practice address
55 Oceana Dr E # 3B
Brooklyn, NY 11235-6695
Phone
(718) 757-6501
Fax
(718) 646-1894
NPI assigned
Apr 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Mrs. Yuliya Vinokurova, MD
Title
Medical Director
Phone
(718) 757-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 210853 NY Primary

Addresses

Primary practice location

55 Oceana Dr E # 3B
Brooklyn, NY 11235-6695

Mailing address

55 Oceana Dr E # 3B
Brooklyn, NY 11235-6695
Phone (718) 757-6501

Other identifiers 1

IdentifierTypeStateIssuer
01913753MedicaidNY

National Provider Directory

National Provider Directory

Locations

1928 Bay Ave
#100200
Brooklyn, NY 11230
Phone (718) 758-4023

NPI Registry JSON

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1740423433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OCEANA DR E # 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356695",
            "telephone_number": "718-757-6501",
            "fax_number": "718-646-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OCEANA DR E # 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356695",
            "telephone_number": "718-757-6501",
            "fax_number": "718-646-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YULIYA VINOKUROVA MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-11",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "VINOKUROVA",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-757-6501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01913753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.