Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Eugene Spivak, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1093516312

Mr. Eugene Spivak, NP is a Nurse Practitioner in Brooklyn, New York. Qualified in 2025, 1 year ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone: (929) 273-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 406897 (NY)

Record details

NPI number1093516312
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 22, 2025
Last updated in NPPESMarch 22, 2025
Certification dateMarch 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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