Active NPI
Yelizaveta Aliieva
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1972385441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 787501
- Practice address
- 405 81St St
Brooklyn, NY 11209-3904 - Phone
- (718) 333-3300
- NPI assigned
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 787501 | NY | Primary |
Addresses
Primary practice location
405 81St St
Brooklyn, NY 11209-3904
Mailing address
1742 E 13TH St Apt 2
Brooklyn, NY 11229-1943
Phone (917) 208-5350
Other names 1
- Yelizaveta Podkuychenko
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | yelizavetaaliieva@scuhs.edu |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 787501 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stella Obtutus Officia Corporation | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1841033198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1972385441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 E 13TH ST APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291943",
"telephone_number": "917-208-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 81ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093904",
"telephone_number": "718-333-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALIIEVA",
"first_name": "YELIZAVETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "787501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "yelizavetaaliieva@scuhs.edu",
"affiliation": "N",
"address_1": "405 81st St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112093904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "YELIZAVETA",
"last_name": "PODKUYCHENKO",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}
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 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.