Active NPI
Karina Darakhchava, NP
- Adult Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F309204-01
- Practice address
- 740 64TH Street
Brooklyn, NY 11220-4714 - Phone
- (718) 439-2000
- Fax
- (718) 439-2004
- NPI assigned
- Oct 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F309204-01 | NY | Primary |
Addresses
Primary practice location
740 64TH Street
Brooklyn, NY 11220-4714
Mailing address
55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
1 Penn Plz Fl 8
New York, NY 10119-0899
Phone (347) 459-3887
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
- State University of New York at Stony Brook, School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Gustave Levy Place
New York, NY 10029-6500
Phone (212) 241-8234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F309204-01 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
325 W 15th St
Ste C
New York, NY 10011
533 W 57th St
Fl 6
New York, NY 10019
Phone (646) 493-1588
17 E 102nd St
Fl 5
New York, NY 10029
Phone (212) 241-8100
234 E 85th St
Fl 5
New York, NY 10028
Phone 2127313311 ext. 2
1468 Madison Ave
#3220
New York, NY 10029
10 Union Sq E
Ste 4J
New York, NY 10003
Phone (212) 844-6949
638 Columbus Ave
Fl 1
New York, NY 10024
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
55 Hudson Yards
Fl 2
New York, NY 10001
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
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.
-
- Dermatology Physician
- New York, NY
- NPI 1922365915
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1881237634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER STREET",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 64TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204714",
"telephone_number": "718-439-2000",
"fax_number": "718-439-2004"
}
],
"practiceLocations": [
{
"address_1": "1 Penn Plz Fl 8",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101190899",
"country_code": "US",
"telephone_number": "347-459-3887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARAKHCHAVA",
"first_name": "KARINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-24",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F309204-01",
"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 20, 2020; 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.