Individual provider Active NPI

Vira Komendyak, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1811286222
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405618-01 Issued in NY
Practice address
2455 Haring St Apt 1H
Brooklyn, NY 11235-1821
Phone
(347) 564-5284
NPI assigned
Apr 6, 2011
Last updated
Oct 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 628539 NY
Gerontology Nurse Practitioner 363LG0600X F309299-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405618-01 NY Primary

Addresses

Primary practice location

2455 Haring St Apt 1H
Brooklyn, NY 11235-1821

Mailing address

2455 Haring St Apt 1H
Brooklyn, NY 11235-1821
Phone (347) 564-5284

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200325000476 NY Practitioner - Nurse Practitioner 5597193516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizon Medical P.C.Group PAC ID 6800788811, 10 clinicians
Feel Good Medical PCGroup PAC ID 6800182981, 9 clinicians
Long Island Consultation Center IncGroup PAC ID 8729068622, 19 clinicians

Practice addresses (Care Compare)

1725 E 12 St
Suite 201
Brooklyn, NY 11229-1068
Phone (718) 336-6334

3039 Ocean Pkwy
Suite 2a
Brooklyn, NY 11235-8378
Phone (718) 975-4466

9131 Queens Blvd
Suite 222
Elmhurst, NY 11373-5511
Phone (718) 896-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
628539NYMDRegistered Nurse
F309299-01NYMDGerontology Nurse Practitioner
F405618-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Consultation Center, Inc. CurrentSince Aug 15, 2024 Accepting new patients
Brooklyn Care Medical PC CurrentSince Aug 29, 2025 Accepting new patients
New Horizon Medical P.C. CurrentSince Aug 29, 2025 Accepting new patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients

Locations

1725 E 12th St
Ste 201
Brooklyn, NY 11229
Phone (718) 336-6334

9131 Queens Blvd
Ste 222
Elmhurst, NY 11373
Phone (718) 896-3400

Networks

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

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1811286222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 HARING ST APT 1H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351821",
            "telephone_number": "347-564-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 HARING ST APT 1H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351821",
            "telephone_number": "347-564-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMENDYAK",
        "first_name": "VIRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "628539",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F309299-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405618-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.