1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Nurse Practitioner
  6. NPI Profile

IANINA SUPONITSKY AGNP
NPI 1124407465
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since May 19, 2015PECOS EnrolledAccepts Medicare Assignment
1773 E 12TH ST, #4D, BROOKLYN, NY 11229(347) 713-3023(718) 208-4022 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ianina Suponitsky Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IANINA SUPONITSKY AGNP (NPI 1124407465) is an individual adult health provider in Brooklyn, New York, licensed in New York (F307084-1) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124407465
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameIANINA SUPONITSKYCredential: AGNP
Location Address1773 E 12TH ST, #4DBrooklyn, NY 11229-1051
Mailing AddressPo Box 290421Brooklyn, NY 11229-0421 · (347) 713-3023 · Fax (718) 208-4022
Phone(347) 713-3023
Fax(718) 208-4022
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 19, 2015
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1124407465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F307084-1
1773 E 12TH ST, Brooklyn, NY 11229
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ianina Suponitsky Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840590121
PECOS Enrollment IDI20170824003674
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ianina Suponitsky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interborough Developmental And Consultation Center, Inc.
0.3 mi
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200
Avant-Garde Psychiatric Consulting PLLC
1.7 mi
Psychiatry
56 BRIGHTON 11TH ST, STE 2A
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1255849949 (929) 617-8635
New York Society For The Relief Of Ruptured & Crippled Maintaining
11 mi
Special Hospital
535 E 70TH ST, HSS DEPARTMENT OF MEDICINE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 121 clinicians in this Medicare group
NPI 1427496652 (212) 774-2507

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
205 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services15 patients
Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRINA BLUVSHTEYN
Specialist
1773 E 12TH ST, APT# 1J
BROOKLYN, NY 11229
Kings County (646) 460-1408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ianina Suponitsky's NPI number?

The NPI number for Ianina Suponitsky is 1124407465. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Where is Ianina Suponitsky located?

Ianina Suponitsky practices at 1773 E 12th St #4d, Brooklyn, NY 11229. The listed phone number is (347) 713-3023.

What is Ianina Suponitsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ianina Suponitsky enrolled in Medicare?

Yes. Ianina Suponitsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ianina Suponitsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ianina Suponitsky reassigns Medicare benefits to 3 organizations: Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY), Avant-Garde Psychiatric Consulting PLLC (Brooklyn, NY) and New York Society For The Relief Of Ruptured & Crippled Maintaining (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ianina Suponitsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ianina Suponitsky affiliated with any hospitals?

According to CMS data, Ianina Suponitsky is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Ianina Suponitsky was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.