Individual provider Active NPI

Nina Aronov, FNP

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1144724360
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347958-01 Issued in NY
Practice address
6860 108TH St Ste SL1
Forest Hills, NY 11375-2973
Phone
(718) 776-7210
Fax
(718) 880-3861
NPI assigned
Mar 21, 2018
Reactivated
Oct 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 F347958-01 NY Primary

Addresses

Primary practice location

6860 108TH St Ste SL1
Forest Hills, NY 11375-2973

Mailing address

6860 108TH St Ste SL1
Forest Hills, NY 11375-2973
Phone (718) 776-7210

Other names 1

  • Mrs. Nina Badalova Former name

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
I20220812002678 NY Practitioner - Nurse Practitioner 1759764475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6860 108TH St
Forest Hills, NY 11375-2902
Phone (718) 776-7210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F347958-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwell NP Family Health PC Family CurrentSince Jun 1, 2022 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1144724360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 108TH ST STE SL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752973",
            "telephone_number": "718-776-7210",
            "fax_number": "718-880-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 108TH ST STE SL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752973",
            "telephone_number": "718-776-7210",
            "fax_number": "718-880-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARONOV",
        "first_name": "NINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "deactivation_date": "2021-10-24",
        "reactivation_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347958-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "BADALOVA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.