Active NPI
Ilana Khononov
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404067
- Practice address
- 135 W 50TH St FL 6
New York, NY 10020-1201 - Phone
- (212) 582-9100
- Fax
- (212) 956-0526
- NPI assigned
- Apr 12, 2022
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404067 | NY | Primary |
Addresses
Primary practice location
135 W 50TH St FL 6
New York, NY 10020-1201
Mailing address
1735 York Ave Apt 29E
New York, NY 10128-6861
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
441 W 26TH St
New York, NY 10001-5629
Phone (212) 760-9822
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.65 of 100
- Quality
- 71.56
- Promoting interoperability
- 74
- Improvement activities
- 40
- Cost
- 87.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404067 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family and Children'S Services, Inc. | Multi-Specialty | Current | Accepting new patients |
| Park East NP in Psychiatry | Current | Accepting new patients | |
| Park East NP in Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
| Hasc Diagnostic &Treatment Center, Inc | Multi-Specialty | Current | Accepting new patients |
| Jewish Board of Family & Childrens Services Inc | Multi-Specialty | Current | Accepting new patients |
| Hasc Diagnostic & Treatment Center, Inc | Current | Accepting new patients | |
| Hasc Diagnostic & Treatment Center, Inc | Current | Accepting new patients | |
| Hudson Guild | Multi-Specialty | Current | Accepting new patients |
Locations
5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600
441 W 26th St
New York, NY 10001
Phone (212) 760-9800
5030 Broadway
Ste 201
New York, NY 10034
Phone (212) 632-4749
135 W 50th St
Fl 6
New York, NY 10020
Phone (212) 632-4700
9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1902872591
Multi-Specialty
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1477321305
-
- Psychiatry Physician
- New York, NY
- NPI 1700725769
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1326519612
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1790678647
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1992447635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 YORK AVE APT 29E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101286861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W 50TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100201201",
"telephone_number": "212-582-9100",
"fax_number": "212-956-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHONONOV",
"first_name": "ILANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "404067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.