Yeseniya Kamynina, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F308549 Issued in NY

Practice address

12046 Queens Blvd
Kew Gardens, NY 11415-1204

Phone

(718) 793-3341

Fax

(718) 268-1666

NPI assigned

Feb 6, 2018

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Modern Medical Care PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1417258161
  Medicare reassignment NPD
• Island Nephrology Services, PC

  • Nephrology Physician
  • Staten Island, NY
  • NPI 1598753253
  NPD

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1740789718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEW DORP LN STE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062364",
            "telephone_number": "718-876-6220",
            "fax_number": "718-876-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12046 QUEENS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151204",
            "telephone_number": "718-793-3341",
            "fax_number": "718-268-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMYNINA",
        "first_name": "YESENIYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05418997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashni Kadakia
• Emily M. Kahn-Freedman, L.M.F.T.
• Angela Kakuriyeva, FNP-C
• Michael Kalimian, D.D.S.
• Emma Kalontar, PHARM.D.
• Miryem Kandinov, D.D.S
• Gary Kantrowitz, D.P.M.
• Donald Gerald Kaplan, PH.D., LMHC
• Irina Karshigi, M.S., C.C.C.-SLP
• Lea Katayev

• Adult Health Nurse Practitioner in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.