IndividualActive
Larisa Jdanova, MSDE
NPI 1649689977 · Specialist · Brooklyn, NY
Larisa Jdanova, MSDE is a Specialist provider in Brooklyn, NY (NPI 1649689977).
Provider details
- NPI number
- 1649689977
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MSDE
- Sex
- Female
- Sole proprietor
- No
- License
- 2598598 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1580 Dahill Rd Fl 2
Brooklyn, NY 11204-3573
Phone: (718) 375-2505
Fax: (718) 375-2472
Street-level locationGet directions
Mailing address
55 Racal Ct Fl 3
Staten Island, NY 10314-5831
Registry dates
- Enumerated
- 2014-08-12
- Last updated
- 2014-08-12
Frequently asked questions
- What is Larisa Jdanova's NPI number?
- Larisa Jdanova's National Provider Identifier (NPI) is 1649689977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larisa Jdanova's specialty?
- Larisa Jdanova is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Larisa Jdanova located?
- Larisa Jdanova's practice location on file with NPPES is 1580 Dahill Rd Fl 2, Brooklyn, NY 11204-3573.
- What is Larisa Jdanova's phone number?
- The practice phone number listed in the NPPES registry for Larisa Jdanova is (718) 375-2505.
- Is Larisa Jdanova's NPI active?
- Yes — Larisa Jdanova's NPI (1649689977) is active in the NPPES registry as of the last update on 2014-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.