Active NPI
Vira Komendyak, NP
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F405618-01
- Practice address
- 2455 Haring St Apt 1H
Brooklyn, NY 11235-1821 - Phone
- (347) 564-5284
- NPI assigned
- Apr 6, 2011
- Last updated
- Oct 6, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 628539 | NY | MD | Registered Nurse |
| F309299-01 | NY | MD | Gerontology Nurse Practitioner |
| F405618-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Consultation Center, Inc. | Current | Accepting new patients | |
| Brooklyn Care Medical PC | Current | Accepting new patients | |
| New Horizon Medical P.C. | Current | Accepting new patients | |
| Long Island Consultation Center | Past | 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
- 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.
-
- Clinical Social Worker
- Elmhurst, NY
- NPI 1295878577
-
- Adolescent and Children Mental Health Clinic/Center
- Brooklyn, NY
- NPI 1659324192
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1073962304
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1154520765
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1568668119
-
- Counselor
- Elmhurst, NY
- NPI 1356016703
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.