Individual provider Active NPI

Marina Timoshenko

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1831959691
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F356027 Issued in NY
Practice address
901 80TH St Apt 5C
Brooklyn, NY 11228-2600
Phone
(646) 464-3903
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F356027 NY Primary

Addresses

Primary practice location

901 80TH St Apt 5C
Brooklyn, NY 11228-2600

Mailing address

901 80TH St Apt 5C
Brooklyn, NY 11228-2600
Phone (646) 464-3903

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
I20251013003218 NY Practitioner - Nurse Practitioner 8820585086 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dix Hills Medical, PCGroup PAC ID 6305253980, 2 clinicians
Sla Associates LLCGroup PAC ID 4981994621, 26 clinicians
Mohammad Aalai Medical PLLCGroup PAC ID 1254743115, 5 clinicians

Practice addresses (Care Compare)

2237 Linden Blvd
Brooklyn, NY 11207-7527
Phone (718) 649-7000

445 Kings Hwy
Suite 2
Brooklyn, NY 11223-1780
Phone 71864503006023

745 Ocean Ave
Brooklyn, NY 11226-4907
Phone (703) 298-6214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F356027NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Mohammad Aalai Medical PLLC CurrentSince Aug 22, 2025 Accepting new patients
Dix Hills Medical, PC CurrentSince Jan 4, 2026 Accepting new patients
Sla Associates LLC CurrentSince Sep 29, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. 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

2237 Linden Blvd
Brooklyn, NY 11207
Phone (718) 604-8370

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

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

745 Ocean Pkwy
Brooklyn, NY 11230
Phone (718) 677-8700

7005 35th Ave
Jackson Hts, NY 11372
Phone (718) 424-6800

Interoperability endpoints

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1831959691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 80TH ST APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282600",
            "telephone_number": "646-464-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 80TH ST APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282600",
            "telephone_number": "646-464-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMOSHENKO",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.