IndividualActive
Taras Petsyukh, RN
NPI 1386072973 · Pediatric Registered Nurse · Ridgewood, NY
Taras Petsyukh, RN is a Pediatric Registered Nurse provider in Ridgewood, NY (NPI 1386072973).
Provider details
- NPI number
- 1386072973
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 670200 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
357 Onderdonk Ave # 2l
Ridgewood, NY 11385-1334
Phone: (347) 243-2316
Street-level locationGet directions
Mailing address
357 Onderdonk Ave # 2l
Ridgewood, NY 11385-1334
Registry dates
- Enumerated
- 2013-10-17
- Last updated
- 2013-10-17
Frequently asked questions
- What is Taras Petsyukh's NPI number?
- Taras Petsyukh's National Provider Identifier (NPI) is 1386072973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Taras Petsyukh's specialty?
- Taras Petsyukh is listed in the NPPES registry with a primary specialty of Pediatric Registered Nurse (Nursing Service Providers).
- Where is Taras Petsyukh located?
- Taras Petsyukh's practice location on file with NPPES is 357 Onderdonk Ave # 2l, Ridgewood, NY 11385-1334.
- What is Taras Petsyukh's phone number?
- The practice phone number listed in the NPPES registry for Taras Petsyukh is (347) 243-2316.
- Is Taras Petsyukh's NPI active?
- Yes — Taras Petsyukh's NPI (1386072973) is active in the NPPES registry as of the last update on 2013-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.