Active NPI
Gamid Aliyev, FNP
- Family Nurse Practitioner
- Long Island City, NY
National Provider Identifier
1063845154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345573
- Practice address
- 3636 33Rd St Ste 306
Long Island City, NY 11106-2329 - Phone
- (844) 644-4325
- NPI assigned
- Aug 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 345573 | NY | Primary |
| Critical Care Registered Respiratory Therapist | 2279C0205X | 008538 | NY | |
| Family Nurse Practitioner | 363LF0000X | F345573-01 | NY |
Addresses
Primary practice location
3636 33Rd St Ste 306
Long Island City, NY 11106-2329
Mailing address
3636 33Rd St Ste 306
Long Island City, NY 11106-2329
Phone (844) 644-4325
Other practice location 1
423 E 23rd St
Respiratory Care Services Room 13090S
New York, NY 10010-5011
Phone (212) 686-7500 ext. 3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345573 | NY | MD | Family Nurse Practitioner |
| F345573-01 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1063845154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 33RD ST STE 306",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111062329",
"telephone_number": "844-644-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 33RD ST STE 306",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111062329",
"telephone_number": "844-644-4325"
}
],
"practiceLocations": [
{
"address_1": "423 E 23rd St",
"address_2": "Respiratory Care Services Room 13090S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100105011",
"country_code": "US",
"telephone_number": "212-686-7500 x3911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALIYEV",
"first_name": "GAMID",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-13",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "345573",
"primary": true
},
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "NY",
"license": "008538",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F345573-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.