Individual provider Active NPI

Irina Pruchansky, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1811080351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228383 Issued in NY
Practice address
445 Kings Highway 2 Floor
Brooklyn, NY 11223
Phone
(718) 645-0300
Fax
(718) 375-5920
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 228383 NY Primary

Addresses

Primary practice location

445 Kings Highway 2 Floor
Brooklyn, NY 11223

Mailing address

445 Kings Highway 2 Floor
Brooklyn, NY 11223
Phone (718) 645-0300

Other identifiers 1

IdentifierTypeStateIssuer
02462013MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513001200 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 9436149291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sla Associates LLCGroup PAC ID 4981994621, 26 clinicians
Interborough Developmental and Consultation Center IncGroup PAC ID 7911898192, 167 clinicians

Practice addresses (Care Compare)

201 Kings Hwy
Brooklyn, NY 11223-1106
Phone (929) 446-4500

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as apm
Quality
79.86
Promoting interoperability
88.89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Interborough Developmental and Consultation Center, Inc. Current Accepting new patients
Sla Associates LLC Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Interborough Developmental and Consultation Center, Inc. Family Medicine CurrentSince Nov 1, 2025 Accepting new patients

Locations

445 Kings Hwy
Ste 2
Brooklyn, NY 11223
Phone (718) 375-6001

2846 Stillwell Ave
Brooklyn, NY 11224
Phone (718) 259-6600

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

201 Kings Hwy
Brooklyn, NY 11223
Phone (929) 446-4500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_idcc

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811080351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 KINGS HIGHWAY 2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-645-0300",
            "fax_number": "718-375-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 KINGS HIGHWAY 2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-645-0300",
            "fax_number": "718-375-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUCHANSKY",
        "first_name": "IRINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02462013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.