Individual provider Active NPI

Yevgeniya Vernik

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1922360494
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
926902991 Issued in NY
Practice address
615 Westminster Rd Apt 2D
Brooklyn, NY 11230-1673
Phone
(917) 756-4365
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 926902991 NY Primary

Addresses

Primary practice location

615 Westminster Rd Apt 2D
Brooklyn, NY 11230-1673

Mailing address

615 Westminster Rd Apt 2D
Brooklyn, NY 11230-1673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
926902991NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1922360494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WESTMINSTER RD APT 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WESTMINSTER RD APT 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301673",
            "telephone_number": "917-756-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNIK",
        "first_name": "YEVGENIYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "926902991",
            "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 Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.