Organization Active NPI

Irina Novikov NP in Adult Health PC

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1952121089
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
IRINA NOVIKOV NP IN ADULT HEALTH PC
Practice address
70 W Brighton Avenue
Brooklyn, NY 11224
Phone
(917) 353-0823
NPI assigned
Oct 14, 2024
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Miss Irina Novikov, NPNPI 1063780450
Title
Owner
Phone
(917) 353-0823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

70 W Brighton Avenue
Brooklyn, NY 11224

Mailing address

2952 Brighton 3Rd St Ste 201
Brooklyn, NY 11235-7078
Phone (718) 975-4334

Other practice location 1

1906 Kings Hwy Fl 2nd
Brooklyn, NY 11229-1314
Phone (917) 353-0823

Other practice location 2

4209 Avenue U
Brooklyn, NY 11234-5121
Phone (718) 222-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250122000322 NY Part B Supplier - Clinic/Group Practice 9133658008 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1952121089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3RD ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357078",
            "telephone_number": "718-975-4334",
            "fax_number": "718-975-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W BRIGHTON AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11224",
            "telephone_number": "917-353-0823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Kings Hwy Fl 2nd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112291314",
            "country_code": "US",
            "telephone_number": "917-353-0823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4209 Avenue U",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112345121",
            "country_code": "US",
            "telephone_number": "718-222-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRINA NOVIKOV NP IN ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "NOVIKOV",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-353-0823",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "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 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.