Advanced Care Registered Professional Nursing Services, P.C.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

604857 Issued in NY

Legal business name

ADVANCED CARE REGISTERED PROFESSIONAL NURSING SERVICES, P.C.

Practice address

6433 98TH St
Rego Park, NY 11374-3321

Phone

(917) 605-1106

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Raisa Achildiyeva, RN

Title

Professional Registered Nurse

Phone

(718) 830-0144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1063735165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 98TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 98TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743321",
            "telephone_number": "917-605-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE REGISTERED PROFESSIONAL NURSING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "ACHILDIYEVA",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "PROFESSIONAL REGISTERED NURSE",
        "authorized_official_telephone_number": "718-830-0144",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "604857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.