Individual provider Active NPI

Eva Babekov, NURSE PRACIONER

  • Adult Health Nurse Practitioner
  • Rego Park, NY
National Provider Identifier
1194960112
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
30499 Issued in NY
Practice address
6536 99TH St Apt 1P
Rego Park, NY 11374-4301
Phone
(646) 309-6002
Fax
(718) 228-5257
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 30499 NY Primary

Addresses

Primary practice location

6536 99TH St Apt 1P
Rego Park, NY 11374-4301

Mailing address

6536 99TH St Apt 1P
Rego Park, NY 11374-4301
Phone (646) 309-6002

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
I20090324000557 NY Practitioner - Nurse Practitioner 6204993967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6536 99TH St
Apt 1P
Rego Park, NY 11374-4301
Phone (646) 309-6002

9732 63Rd Rd
Rego Park, NY 11374-1639
Phone (718) 255-1018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30499NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Feb 1, 2014 Accepting new patients
New York Diabetes and Endocrinology PLLC CurrentSince Aug 12, 2017 Accepting new patients
Better Health NP in Adult Health PC Adult Health CurrentSince Mar 24, 2009 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 1, 2014 Accepting new patients
Isak Isakov Medical, PC Past Accepting new patients
Sajid Khan MD PC Past Accepting new patients
RJZM LLC Past Accepting new patients

Locations

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

6260 108th St
Ste 1J
Forest Hills, NY 11375

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

300 Community Dr
Plandome, NY 11030

9732 63rd Rd
Rego Park, NY 11374
Phone (718) 255-1018

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

Networks

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

Organizations & group practices 7

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1194960112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 99TH ST APT 1P",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744301",
            "telephone_number": "646-309-6002",
            "fax_number": "718-228-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 99TH ST APT 1P",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744301",
            "telephone_number": "646-309-6002",
            "fax_number": "718-228-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABEKOV",
        "first_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "30499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.