Mehribon Ahadova, FNP
Individual provider Active NPI Family Nurse Practitioner · North Bellmore, NY
NPI 1245048669 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1245048669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 355634 (NY)
- Practice address
- 17 Davenport PL
North Bellmore, NY 11710-2602 - Phone
- (718) 864-2806
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250508000439 | NY | Practitioner - Nurse Practitioner | 4385161868 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Fazio Obstetrics & Gynecology, PC | Current |
Accepting new patients |
Locations
90 S 8th St
Brooklyn, NY 11249
Phone (718) 836-3721
1301 82nd St
#26
Brooklyn, NY 11228
Phone (718) 836-3721
1301 82nd St
Brooklyn, NY 11228
Phone (718) 836-3721
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 355634 | NY | Yes |
Addresses
Primary practice location
17 Davenport PL
North Bellmore, NY 11710-2602
Mailing address
17 Davenport PL
North Bellmore, NY 11710-2602
Phone (718) 864-2806
Other names
- Mehribon Saidmurodova
Other providers in North Bellmore, NY
- Robert A Abramson
- Audra Marie Abruzzo-Wajda
- Achieve Physical Therapy and Wellness
- Advantage Optical
- After the Call Mental Health Counseling PLLC
- Monir Uddin Ahamed
- Naseer N/a Ahmad
- Erika Aiello
- Robyn Albert
- Sara Renee Alfaro
All providers in North Bellmore, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.