Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. LYUDMILA BRODETSKAYA FNP
NPI 1689189581
Nurse Practitioner - Family in Newark, NJ

Q: What is Lyudmila Brodetskaya's NPI number?

The NPI number for Lyudmila Brodetskaya is 1689189581. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Q: What is Lyudmila Brodetskaya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 13, 2017PECOS Enrolled

1 GATEWAY CTR STE 2600, NEWARK, NJ 07102(888) 731-8994 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, May 6, 2026, Dec 27, 2024 and 1 more (4 updates tracked since 2017).

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About Mrs. Lyudmila Brodetskaya Fnp NPPES

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

MRS. LYUDMILA BRODETSKAYA FNP (NPI 1689189581) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ14901200) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1689189581

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LYUDMILA BRODETSKAYACredential: FNP

Location Address1 GATEWAY CTR STE 2600Newark, NJ 07102-5323

Mailing Address1 Gateway Ctr Ste 2600Newark, NJ 07102-5323 · (888) 731-8994 · Fax (833) 775-1861

Phone(888) 731-8994

Sole ProprietorNo

Enumeration DateDecember 13, 2017

Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1689189581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NJ · 26NJ14901200✔ Licensed in NY · F339392-1

1 GATEWAY CTR STE 2600, Newark, NJ 07102

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Secondary Practice Location 1

Location 1165 Broadway Fl 23New York, NY 10006-1452 · Phone (888) 731-8994

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lyudmila Brodetskaya Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 20

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

MR. MICHAEL C CADORETTE ANP

Nurse Practitioner (Family)