Vyacheslav Dabakarov

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345472 Issued in NY

Practice address

7315 194TH St
Fresh Meadows, NY 11366-1835

Phone

(347) 684-6605

NPI assigned

Feb 3, 2020

Sex

Male

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

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Allergy Asthma and Eczema Care of Queens PC

  • Allergy Physician
  • Forest Hills, NY
  • NPI 1881311967
  Medicare reassignment NPD

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1306477955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 194TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661835",
            "telephone_number": "347-684-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 194TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661835",
            "telephone_number": "347-684-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAKAROV",
        "first_name": "VYACHESLAV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crysti Mincey NP in Adult Health PC
• Angel Louis Cuevas, LCSW
• Nika Cuffie-Williams
• CVS Albany LLC
• Dabakarov Family Health Nurse Practitioner PC
• Mihaela Dajdea, PA
• Nicole Dalessio
• Denycia Dalrymple
• Alectra Dandridge, LMSW
• Jaison Jacob Daniel

• Family Nurse Practitioner in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.