VITALIY GAVRYLYUK NP
NPI 1639635790
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since February 13, 2019PECOS EnrolledAccepts Medicare Assignment
3209 CONEY ISLAND AVE, BROOKLYN, NY 11235(718) 265-0005 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitaliy Gavrylyuk Np NPPES

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

VITALIY GAVRYLYUK NP (NPI 1639635790) is an individual adult health provider in Brooklyn, New York, licensed in New York (309058) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Maimonides Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639635790
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameVITALIY GAVRYLYUKCredential: NP
Location Address3209 CONEY ISLAND AVEBrooklyn, NY 11235-7072
Mailing Address1516 Hewlett Heath RdHewlett, NY 11557-1703
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 13, 2019
NPI 1639635790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 309058
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 309058 (NY)
3209 CONEY ISLAND AVE, Brooklyn, NY 11235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vitaliy Gavrylyuk Np 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 ID7911330972
PECOS Enrollment IDI20191204002792
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.

Hospital Affiliations CMS Care Compare

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

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11235 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 3

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

Nurse Practitioner (Family)
3209 CONEY ISLAND AVE
BROOKLYN, NY 11235
Nurse Practitioner (Family)
3209 CONEY ISLAND AVE
BROOKLYN, NY 11235
Physician Assistant
3209 CONEY ISLAND AVE
BROOKLYN, NY 11235

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 Vitaliy Gavrylyuk's NPI number?

The NPI number for Vitaliy Gavrylyuk is 1639635790. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Vitaliy Gavrylyuk located?

Vitaliy Gavrylyuk practices at 3209 Coney Island Ave, Brooklyn, NY 11235. The listed phone number is (718) 265-0005.

What is Vitaliy Gavrylyuk's specialty?

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

Is Vitaliy Gavrylyuk enrolled in Medicare?

Yes. Vitaliy Gavrylyuk 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.

Is Vitaliy Gavrylyuk affiliated with any hospitals?

According to CMS data, Vitaliy Gavrylyuk is affiliated with Maimonides Medical Center.

When was this NPI record last updated?

The NPPES record for Vitaliy Gavrylyuk was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.