NPIMap

Individual provider Active NPI

Elenora Achildiyeva, FNP

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1306296751
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340398-1 Issued in NY
Practice address
10255 63Rd Rd
Forest Hills, NY 11375
Phone
(347) 808-0346
Fax
(888) 370-5960
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340398-1 NY Primary

Addresses

Primary practice location

10255 63Rd Rd
Forest Hills, NY 11375

Mailing address

10255 63Rd Rd
Forest Hills, NY 11375-1048
Phone (347) 808-0346

Other practice location 1

10124 Queens Blvd Ste A
Forest Hills, NY 11375-2779
Phone (718) 261-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102001265 NY Practitioner - Nurse Practitioner 1850679432 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Medical Care PC 4 clinicians
True North Medical at North Suffolk, PLLC 19 clinicians

Practice addresses (Care Compare)

10255 63Rd Rd
Forest Hills, NY 11375-1048
Phone (347) 808-0346

6080 Jericho Tpke
Commack, NY 11725-2850
Phone (631) 364-9119

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340398-1NYMDFamily Nurse Practitioner

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Northern Medical Care PC CurrentSince Jan 21, 2019 Accepting new patients
True North Medical at North Suffolk PLLC CurrentSince Nov 1, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 11, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 11, 2016 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 11, 2016 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients

Locations

1530 Bedford Ave
Fl 2
Brooklyn, NY 11216
Phone (347) 888-9138

1117 Brighton Beach Ave
Fl 2
Brooklyn, NY 11235
Phone (718) 998-9900

6080 Jericho Tpke
Commack, NY 11725
Phone (631) 462-2200

10124 Queens Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 261-8881

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

1010 Route 112
Ste 300
Port Jefferson Station, NY 11776
Phone (631) 364-9119

Networks

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

Organizations & group practices 6

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.

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1306296751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751048",
            "telephone_number": "347-808-0346",
            "fax_number": "888-370-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "347-808-0346",
            "fax_number": "888-370-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10124 Queens Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752779",
            "country_code": "US",
            "telephone_number": "718-261-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHILDIYEVA",
        "first_name": "ELENORA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340398-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.