Individual provider Active NPI

Iryna Dryhybko, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1790077956
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
624758 Issued in NY
Practice address
1220 Avenue P
Brooklyn, NY 11229-1009
Phone
(718) 376-1004
Fax
(718) 376-1150
NPI assigned
May 6, 2011
Last updated
May 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 624758 NY Primary

Addresses

Primary practice location

1220 Avenue P
Brooklyn, NY 11229-1009

Mailing address

1668 W 6TH St
Apt. 4D
Brooklyn, NY 11223-1357
Phone (718) 627-1494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
624758NYMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1790077956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 W 6TH ST",
            "address_2": "APT. 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231357",
            "telephone_number": "718-627-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291009",
            "telephone_number": "718-376-1004",
            "fax_number": "718-376-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYHYBKO",
        "first_name": "IRYNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "624758",
            "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 May 6, 2011; 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.