Individual provider Active NPI

Yuliya Babayeva, NP

  • Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1255766671
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2012021982 Issued in NY
Practice address
68-61 Yellowstone Blvd.
Suite 116
Forest Hills, NY 11375
Phone
(718) 263-1450
NPI assigned
Sep 4, 2013
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2012021982 NY Primary
Adult Health Nurse Practitioner 363LA2200X F306363-1 NY
Gerontology Nurse Practitioner 363LG0600X F340889-1 NY

Addresses

Primary practice location

68-61 Yellowstone Blvd.
Suite 116
Forest Hills, NY 11375

Mailing address

68-61 Yellowstone Blvd.
Suite 116
Forest Hills, NY 11375
Phone (718) 263-1450

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
I20140508000486 NY Practitioner - Nurse Practitioner 0042443541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Medical and Diagnostic Center IncGroup PAC ID 9436041217, 14 clinicians
Innovative Rehabilitation Consultant Medical PCGroup PAC ID 9739350695, 4 clinicians

Practice addresses (Care Compare)

8046 Kew Gardens Rd
Kew Gardens, NY 11415-1154
Phone (718) 261-1000

9701 66TH Ave
Rego Park, NY 11374-4245
Phone (718) 275-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012021982NYMDNurse Practitioner
F306363-1NYMDAdult Health Nurse Practitioner
F340889-1NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Rehabilitation Consultant Medical PC CurrentSince Aug 21, 2020 Accepting new patients

Locations

9701 66th Ave
Rego Park, NY 11374
Phone (718) 275-5200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1255766671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-61 YELLOWSTONE BLVD.",
            "address_2": "SUITE 116",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-263-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-61 YELLOWSTONE BLVD.",
            "address_2": "SUITE 116",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-263-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAYEVA",
        "first_name": "YULIYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "2012021982",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306363-1",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340889-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.