Individual provider Active NPI

Darya Sledzinskaya

  • Family Nurse Practitioner
  • Greenvale, NY
National Provider Identifier
1952169807
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
754946-01 Issued in NY
Practice address
720 Northern Blvd
Greenvale, NY 11548-1319
Phone
(516) 299-2990
NPI assigned
Mar 6, 2024
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 754946-01 NY Primary

Addresses

Primary practice location

720 Northern Blvd
Greenvale, NY 11548-1319

Mailing address

1569 Meadowbrook Rd
Merrick, NY 11566-1959
Phone (516) 304-2821

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
I20241008001071 NY Practitioner - Nurse Practitioner 5294266714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multiviz Medical Services PCGroup PAC ID 1557274735, 26 clinicians

Practice addresses (Care Compare)

529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone (718) 327-7307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354282NYMDDiagnostic Ultrasound Physician
754946-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multiviz Medical Services PC CurrentSince Oct 1, 2024 Accepting new patients
Abiola Familusi PastSince Oct 1, 2024 Accepting new patients

Locations

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

300 Garden City Plz
Ste 418
Garden City, NY 11530
Phone (516) 481-7050

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

Organizations & group practices 2

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1952169807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 MEADOWBROOK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661959",
            "telephone_number": "516-304-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 NORTHERN BLVD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481319",
            "telephone_number": "516-299-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDZINSKAYA",
        "first_name": "DARYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "754946-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

Verify at the official NPI Registry.