Individual provider Active NPI

Milana Chulpayev, FNP-C

  • Family Nurse Practitioner
  • Rego Park, NY
National Provider Identifier
1114469962
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341059 Issued in NY
Practice address
9777 Queens Blvd FL 9
Rego Park, NY 11374-3335
Phone
(718) 267-2420
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341059 NY Primary

Addresses

Primary practice location

9777 Queens Blvd FL 9
Rego Park, NY 11374-3335

Mailing address

6565 Booth St Apt 408
Rego Park, NY 11374-4139
Phone (646) 220-8935

Other practice location 1

6655 Fresh Pond Rd
Ridgewood, NY 11385-3261
Phone (718) 497-1919

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
I20190813002430 NY Practitioner - Nurse Practitioner 4385971308 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F341059NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Nov 6, 2025 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 6, 2025 Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

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

9777 Queens Blvd
Fl 9
Rego Park, NY 11374
Phone (212) 695-5122

Organizations & group practices 2

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": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1114469962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 BOOTH ST APT 408",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744139",
            "telephone_number": "646-220-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD FL 9",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743335",
            "telephone_number": "718-267-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 Fresh Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113853261",
            "country_code": "US",
            "telephone_number": "718-497-1919",
            "fax_number": "718-386-2152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHULPAYEV",
        "first_name": "MILANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.