Individual provider Active NPI

Bernardina Garcia Baes-Abayev, RN MSN FNP-BC

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1265718563
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334432-1 Issued in NY
Practice address
1985 Marcus Ave # 100
New Hyde Park, NY 11042-2008
Phone
(855) 201-4988
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 517493-1 NY
Family Nurse Practitioner 363LF0000X F334432-1 NY Primary

Addresses

Primary practice location

1985 Marcus Ave # 100
New Hyde Park, NY 11042-2008

Mailing address

6414 Bay Pkwy
Brooklyn, NY 11204-4270
Phone (646) 327-6757

Other practice location 1

6414 Bay Pkwy
Brooklyn, NY 11204-3929
Phone (718) 234-2300

Other practice location 2

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (646) 327-6757

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
I20121107000005 NY Order and Referring Only - Nurse Practitioner 3072764729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
517493-1NYMDRegistered Nurse
F334432-1NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: babayev@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1265718563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044270",
            "telephone_number": "646-327-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MARCUS AVE # 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422008",
            "telephone_number": "855-201-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6414 Bay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112043929",
            "country_code": "US",
            "telephone_number": "718-234-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Bren Rd E",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "646-327-6757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAES-ABAYEV",
        "first_name": "BERNARDINA",
        "middle_name": "GARCIA",
        "credential": "RN MSN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "517493-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334432-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.