Iryna Ivanovna Rahalevich, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F311261-01 Issued in NY

Practice address

32 Oakwood Dr
Shirley, NY 11967-3841

Phone

(631) 681-8133

NPI assigned

Sep 23, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2024.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1962785162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 OAKWOOD DRIVE",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673841",
            "telephone_number": "631-681-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 OAKWOOD DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673841",
            "telephone_number": "631-681-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHALEVICH",
        "first_name": "IRYNA",
        "middle_name": "IVANOVNA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "648082",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311261-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph William Primavera, PHARM D.
• Debra A Pure, CRPA
• Lalaine T Que, MD
• Sarala Radhakrishnan, M.D.
• Kaveh Rafiei, PHARM.D
• Carmen V Ramirez
• Roland Johnathan Ramkissoon, PA-C
• Darla Ramos
• Farhan Rashid
• Satpal Singh Rathour, M.D

• All providers in Shirley, NY
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.