Individual provider Active NPI

Yelena Gayetskaya, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1851304372
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334561 Issued in NY
Practice address
2925 Kings Hwy
Brooklyn, NY 11229-1805
Phone
(866) 389-2727
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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 F334561 NY Primary

Addresses

Primary practice location

2925 Kings Hwy
Brooklyn, NY 11229-1805

Mailing address

2925 Kings Hwy
Brooklyn, NY 11229-1805

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
I20070208000248 NY Practitioner - Nurse Practitioner 2567464209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Larimar Family NP Services PLLCGroup PAC ID 6103185558, 2 clinicians

Practice addresses (Care Compare)

4 Highlawn Ave
Brooklyn, NY 11223-2428
Phone (718) 676-5650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F334561NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Larimar Family NP Services, PLLC CurrentSince Oct 28, 2017 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Jan 11, 2011 Accepting new patients
Fpa Hospital Based CurrentSince Nov 1, 2014 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based CurrentSince Nov 1, 2014 Accepting new patients
Long Island College Hospital Past Accepting new patients
Lich Faculty Practice Past Accepting new patients

Locations

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

4 Highlawn Ave
Brooklyn, NY 11223
Phone (646) 801-3772

2925 Kings Hwy
Brooklyn, NY 11229
Phone (718) 677-3870

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

55 Cold Spring Rd
Syosset, NY 11791
Phone (516) 921-5910

Networks

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

Organizations & group practices 7

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1851304372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291805",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYETSKAYA",
        "first_name": "YELENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.