Aysylu Mardanova, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

090561-1 Issued in NY

Practice address

274 Madison Ave RM 1501
New York, NY 10016-0701

Phone

(212) 203-1773

Fax

(646) 665-4427

NPI assigned

Apr 20, 2015

Last updated

Jul 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rivia Medical PLLC

  dba Rivia Medical

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
  • NPI 1134644032
  NPD
• Rivia Medical PLLC

  dba RIVIA Mind

  • Nutritionist
  • New York, NY
  • NPI 1871280818
  NPD

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1295122091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PARKSIDE LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661440",
            "telephone_number": "646-707-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE RM 1501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-203-1773",
            "fax_number": "646-665-4427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 W 127th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100273723",
            "country_code": "US",
            "telephone_number": "212-752-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 University Plz",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076016202",
            "country_code": "US",
            "telephone_number": "212-203-1773",
            "fax_number": "646-665-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARDANOVA",
        "first_name": "AYSYLU",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090561-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uri Marcus
• Julie Jarett Marcuse, PH.D.
• Lara V Marcuse, M.D.
• Laura Marczuk, OTD
• Alana Mardakhayev, NP
• Bora Mardechia, M.D.
• Khaled Ahmed Marden, DO
• Bella Marder
• Dova Dawn Marder, M.D.
• Janusz Marder, M.A.,L.C.A.T.

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.