Individual provider Active NPI

Violetta Gadayeva, N.P.

  • Adult Health Nurse Practitioner
  • Woodmere, NY
National Provider Identifier
1093909798
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304533-1 Issued in NY
Practice address
1014 S End
Woodmere, NY 11598-1027
Phone
(516) 341-7023
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F304533-1 NY Primary

Addresses

Primary practice location

1014 S End
Woodmere, NY 11598-1027

Mailing address

1014 S End
Woodmere, NY 11598-1027
Phone (516) 341-7023

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
I20071112000535 NY Practitioner - Nurse Practitioner 1153419940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

169 Madison Ave
New York, NY 10016-5101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F304533-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Medical Office PC CurrentSince Apr 13, 2024 Accepting new patients
Urban Family Practice PC CurrentSince Aug 8, 2023 Accepting new patients
Careathome Medical Practice CurrentSince Apr 5, 2023 Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

287 Park Ave S
Fl 3
New York, NY 10010
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1093909798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S END",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981027",
            "telephone_number": "516-341-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S END",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981027",
            "telephone_number": "516-341-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADAYEVA",
        "first_name": "VIOLETTA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304533-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.