Individual provider Active NPI

Yelizaveta Aliieva

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1972385441
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
787501 Issued in NY
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

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
787501NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Obtutus Officia Corporation CurrentSince Jun 16, 2024 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.

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.

Verify at the official NPI Registry.