Individual provider Active NPI

Arkadiy Abraham Murdakhayev, NP

  • Acute Care Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1003450487
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431551 Issued in NY
Practice address
1163 Manor Ave
Bronx, NY 10472-3967
Phone
(646) 387-5808
Fax
(718) 589-1012
NPI assigned
Oct 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 431551 NY Primary

Addresses

Primary practice location

1163 Manor Ave
Bronx, NY 10472-3967

Mailing address

1163 Manor Ave
Bronx, NY 10472-3967
Phone (646) 387-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502000151 NY Practitioner - Nurse Practitioner 9133516677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Perry Ave Family Medical Center IncGroup PAC ID 0547365363, 28 clinicians

Practice addresses (Care Compare)

3071 Perry Ave
Bronx, NY 10467-4111
Phone (718) 231-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
431551NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Feb 1, 2022 Accepting new patients
Perry Ave Family Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Andrade Medical PLLC CurrentSince Oct 29, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 1, 2022 Accepting new patients

Locations

1163 Manor Ave
Bronx, NY 10472
Phone (646) 387-5808

1163 Manor Ave
Frnt 2
Bronx, NY 10472
Phone (718) 589-3501

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBAEAA/Endpoint/FBAEAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1003450487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 MANOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723967",
            "telephone_number": "646-387-5808",
            "fax_number": "718-589-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 MANOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723967",
            "telephone_number": "646-387-5808",
            "fax_number": "718-589-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDAKHAYEV",
        "first_name": "ARKADIY",
        "middle_name": "ABRAHAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.