Individual provider Active NPI

Tetyana Roytman, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1982249868
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345241 Issued in NY
Practice address
1117 Brighton Beach Ave
2ND Floor
Brooklyn, NY 11235
Phone
(718) 998-9900
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 345241 NY Primary

Addresses

Primary practice location

1117 Brighton Beach Ave
2ND Floor
Brooklyn, NY 11235

Mailing address

1117 Brighton Beach Ave
2ND Floor
Brooklyn, NY 11235
Phone (718) 998-9900

Other names 1

  • Tetyana Pavlyuh Former name

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
I20200410001253 NY Practitioner - Nurse Practitioner 9931538071 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sla Associates LLCGroup PAC ID 4981994621, 26 clinicians
Aandi Physicians PLLCGroup PAC ID 0840357430, 6 clinicians
Health Shared Physicians PLLCGroup PAC ID 1850717521, 7 clinicians
Belmont Comprehensive Medical Care PLLCGroup PAC ID 5698123115, 6 clinicians
Ais Physician PCGroup PAC ID 8729399605, 3 clinicians

Practice addresses (Care Compare)

445 Kings Hwy
Suite 2
Brooklyn, NY 11223-1780
Phone 71864503006023

47 Plaza St W
Brooklyn, NY 11217-3905
Phone (718) 789-4332

76 Belmont Ave
Brooklyn, NY 11212-6719
Phone (718) 395-6444

979 Fulton St
Brooklyn, NY 11238-2346
Phone (718) 857-1200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.36
Improvement activities
40
Cost
80.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345241NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sla Associates LLC CurrentSince Dec 1, 2024 Accepting new patients
Atlantic Medical PC CurrentSince Feb 19, 2020 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Advanced Medical Care CurrentSince Feb 13, 2021 Accepting new patients
Health Shared Physicians, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Belmont Comprehensive Medical Care PLLC CurrentSince May 17, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Advanced Medical Care PLLC CurrentSince Feb 13, 2021 Accepting new patients
A&I Physicians PLLC CurrentSince May 12, 2025 Accepting new patients
Sunrise Cardiovascular PLLC Past Accepting new patients

Locations

745 Ocean Pkwy
Brooklyn, NY 11230
Phone (718) 677-8700

201 Kings Hwy
Brooklyn, NY 11223
Phone (929) 446-4500

1117 Brighton Beach Ave
Fl 2
Brooklyn, NY 11235
Phone (718) 998-9900

2846 Stillwell Ave
Brooklyn, NY 11224
Phone (718) 259-6600

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

979 Fulton St
Ste 7
Brooklyn, NY 11238

979 Fulton St
Brooklyn, NY 11238
Phone (718) 857-1200

76 Belmont Ave
Brooklyn, NY 11212
Phone (347) 754-6012

979 Fulton St
Ste 6
Brooklyn, NY 11238

979 Fulton St
Ste 1
Brooklyn, NY 11238

979 Fulton St
Ste 4
Brooklyn, NY 11238

445 Kings Hwy
Ste 2
Brooklyn, NY 11223
Phone (718) 375-6001

78 Belmont Ave
Brooklyn, NY 11212
Phone (718) 395-6444

979 Fulton St
Ste 2
Brooklyn, NY 11238

10124 Queens Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 261-8881

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_idcc

Organizations & group practices 12

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1982249868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 BRIGHTON BEACH AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-998-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 BRIGHTON BEACH AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-998-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYTMAN",
        "first_name": "TETYANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TETYANA",
            "last_name": "PAVLYUH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.