Larissa Jerominow
Nurse Practitioner | 6+ years Exp
3611 14th Ave Ste 550, Brooklyn
New York, 11218-3773
718-819-6144
Accepts Medicare Nurse Anesthetist in Brooklyn, New York.Larissa Jerominow is a Brooklyn, New York based nurse practitioner with 6 years of experience in . She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Larissa Jerominow is F309311-01 for Gerontology in New York. Her current practice location is 3611 14th Ave Ste 550, Brooklyn. Patients can reach her at 718-819-6144 or can fax her at 718-819-6145 and her NPI number (Unique professional ID assigned by NPPES) is 1285284992.
Larissa Jerominow has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Larissa Jerominow speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Larissa Jerominow |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3611 14th Ave Ste 550, Brooklyn, New York, 11218-3773 |
| Phone: | 718-819-6144 |
| Fax: | 718-819-6145 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5991116360 |
| Enrollment ID: | I20201117000628 |
| NPI Number: | 1285284992 |
| NPI Enumeration Date: | 14 Sep, 2019 |
| NPI Last Update On: | 29 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larissa Jerominow are as mentioned below.
| License Number | Specialization | State | Status | |
| F309311-01 | Gerontology | New York | Primary | |
| F30911-01 | Nurse Practitioner | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Larissa Jerominow is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Prominis Medical Services Pc (9537124441) | 31 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Larissa Jerominow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1205559812 | Other | | NURSE PRACTITIONER-ADULT GERONTOLOGY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Larissa Jerominow 926 Main St, Nashville, Tennessee |
| Zip: | 37206-3614 |
| Phone Number: | 615-436-9060 |
| Fax Number: | 615-235-9725 |
Patients can reach Larissa Jerominow at
3611 14th Ave Ste 550, Brooklyn, New York or can
call to book an appointment on 718-819-6144.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.