Individual provider Active NPI

Gamid Aliyev, FNP

  • Family Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1063845154
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345573 Issued in NY
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

Updated by the provider on May 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
345573NYMDFamily Nurse Practitioner
F345573-01NYMDFamily 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.

Verify at the official NPI Registry.