Organization Active NPI

Evgenia Mayvaldov Nurse Practitioner in Gerontology PC

  • Nurse Practitioner
  • Oceanside, NY
National Provider Identifier
1326990144
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
EVGENIA MAYVALDOV NURSE PRACTITIONER IN GERONTOLOGY PC
Practice address
3377 Long Beach Rd
Oceanside, NY 11572-5063
Phone
(516) 661-8352
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Evgenia Mayvaldov, NPNPI 1427261890
Title
Provider/Medical Director
Phone
(516) 661-8352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3377 Long Beach Rd
Oceanside, NY 11572-5063

Mailing address

3377 Long Beach Rd
Oceanside, NY 11572-5063
Phone (516) 661-8352

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1326990144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725063",
            "telephone_number": "516-661-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725063",
            "telephone_number": "516-661-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVGENIA MAYVALDOV NURSE PRACTITIONER IN GERONTOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "MAYVALDOV",
        "authorized_official_first_name": "EVGENIA",
        "authorized_official_title_or_position": "PROVIDER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-661-8352",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.