Ilya Kopach, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

343781 Issued in NY

Practice address

2520 Batchelder St Apt 5H
Brooklyn, NY 11235-1545

Phone

(347) 760-7684

NPI assigned

Nov 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1760149660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 BATCHELDER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 BATCHELDER ST APT 5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351545",
            "telephone_number": "347-760-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACH",
        "first_name": "ILYA",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "656739",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "343781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elaine Koonings, PMHNP
• Leesha Koonjoo
• Koorga LLC
• Koorosh Shamtoub DDS PC
• Justin James Kopa, M.D.
• Nikolay Kopach, LAC
• Peter Kopach, L.A.C
• Mariana Kopachevska
• Svetlana Kopacz, MSED
• Khristina Kopchuk, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.