Individual provider Active NPI

Natella Aminov

  • Specialist
  • Jamaica, NY
National Provider Identifier
1144626821
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
892870 Issued in NY
Practice address
18237 Tudor Rd
Jamaica, NY 11432-1509
Phone
(718) 490-8688
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 892870 NY Primary

Addresses

Primary practice location

18237 Tudor Rd
Jamaica, NY 11432-1509

Mailing address

18237 Tudor Rd
Jamaica, NY 11432-1509
Phone (718) 490-8688

Other names 1

  • Natella Aminov Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
892870NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1144626821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18237 TUDOR RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321509",
            "telephone_number": "718-490-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18237 TUDOR RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321509",
            "telephone_number": "718-490-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINOV",
        "first_name": "NATELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "892870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATELLA",
            "last_name": "AMINOV",
            "credential": "M.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.