Individual provider Active NPI

Elizabeth Sokolova, NP

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1992349476
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F345153-01 Issued in NY
Practice address
1349 Broadway
Brooklyn, NY 11221
Phone
(718) 975-2270
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F345153-01 NY Primary

Addresses

Primary practice location

1349 Broadway
Brooklyn, NY 11221

Mailing address

815 Gravesend Neck Rd Apt 5L
Brooklyn, NY 11223-5507
Phone (718) 902-7949

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
I20210326001860 NY Practitioner - Nurse Practitioner 3779990387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Medical PCGroup PAC ID 7810116761, 7 clinicians

Practice addresses (Care Compare)

3035 W 24TH St
Brooklyn, NY 11224-2114
Phone (718) 616-0500

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F345153-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Medical PC CurrentSince Mar 1, 2021 Accepting new patients

Locations

3035 W 24th St
Brooklyn, NY 11224
Phone (347) 348-1518

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1992349476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 GRAVESEND NECK RD APT 5L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235507",
            "telephone_number": "718-902-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11221",
            "telephone_number": "718-975-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOVA",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F345153-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.