Individual provider Active NPI

Dariya Bobko

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1902419344
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309806 Issued in NY
Practice address
3235 Emmons Ave Apt 308
Brooklyn, NY 11235-1133
Phone
(646) 338-0532
NPI assigned
Aug 25, 2020
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 309806 NY Primary

Addresses

Primary practice location

3235 Emmons Ave Apt 308
Brooklyn, NY 11235-1133

Mailing address

3235 Emmons Ave Apt 308
Brooklyn, NY 11235-1133
Phone (646) 338-0532

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
I20220929000199 NY Practitioner - Nurse Practitioner 0345626388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 Kings Hwy
Brooklyn, NY 11229-1705
Phone (718) 692-5303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309806NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New York Community Hospital of Brooklyn Inc CurrentSince Jul 20, 2022 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Sep 1, 2022 Accepting new patients
New York Community Hospital of Brooklyn Inc CurrentSince Jul 20, 2022 Accepting new patients
New York Community Hospital of Brooklyn, Inc. Past Accepting new patients

Locations

175 Remsen St
Fl 12
Brooklyn, NY 11201

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1 Research Rd
Ridge, NY 11961

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3538

Networks

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1902419344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 EMMONS AVE APT 308",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351133",
            "telephone_number": "646-338-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 EMMONS AVE APT 308",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351133",
            "telephone_number": "646-338-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBKO",
        "first_name": "DARIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.