Active NPI
Sofia Elizabeth Braylovsky, RPA-C
- Medical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1760712707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 013657-1
- Practice address
- 535 Ocean Pkwy Apt la
Brooklyn, NY 11218-5941 - Phone
- (718) 851-7765
- Fax
- (718) 851-7743
- NPI assigned
- Jan 13, 2010
- Last updated
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 013657-1 | NY | Primary |
Addresses
Primary practice location
535 Ocean Pkwy Apt la
Brooklyn, NY 11218-5941
Mailing address
535 Ocean Pkwy Apt la
Brooklyn, NY 11218-5941
Phone (718) 851-7765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013657 | NY | MD | Physical Therapist |
| 013657-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SK Neurology PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurology Physician
- Brooklyn, NY
- NPI 1578108635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1760712707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 OCEAN PKWY APT LA",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112185941",
"telephone_number": "718-851-7765",
"fax_number": "718-851-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 OCEAN PKWY APT LA",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112185941",
"telephone_number": "718-851-7765",
"fax_number": "718-851-7743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAYLOVSKY",
"first_name": "SOFIA",
"middle_name": "ELIZABETH",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "013657-1",
"primary": true
}
],
"identifiers": [],
"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 Jan 13, 2010; 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.