Individual provider Active NPI

Natallia Kleshchanka, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1942780390
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343509 Issued in NY
Practice address
3350 Victory Blvd
Staten Island, NY 10314-6792
Phone
(347) 672-0805
Fax
(347) 745-7019
NPI assigned
Aug 15, 2018
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 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 343509 NY Primary

Addresses

Primary practice location

3350 Victory Blvd
Staten Island, NY 10314-6792

Mailing address

345 Dewey Ave
Staten Island, NY 10308-1504
Phone (347) 672-0805

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
I20190401001612 NY Practitioner - Nurse Practitioner 5799026738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
A Friendly Face Akademy Corp.Group PAC ID 3779927553, 8 clinicians

Practice addresses (Care Compare)

1887 Richmond Ave
Staten Island, NY 10314-3939
Phone (718) 698-1300

3350 Victory Blvd
Staten Island, NY 10314-6792
Phone (347) 672-0805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343509NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Friendly Face Akademy Corp. CurrentSince May 1, 2024 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
NK Family Health NP PC Family CurrentSince Jul 1, 2024 Accepting new patients

Locations

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

1887 Richmond Ave
Ste 5
Staten Island, NY 10314
Phone (718) 698-1300

796 Castleton Ave
Staten Island, NY 10310
Phone (347) 943-7766

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAAHDD/Endpoint/GAAHDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1942780390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DEWEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081504",
            "telephone_number": "347-672-0805",
            "fax_number": "347-745-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146792",
            "telephone_number": "347-672-0805",
            "fax_number": "347-745-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLESHCHANKA",
        "first_name": "NATALLIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.