Individual provider Active NPI

Margarita Ukman, NP

  • Adult Health Nurse Practitioner
  • Glendale, NY
National Provider Identifier
1356685473
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305581 Issued in NY
Practice address
6829 Myrtle Ave
Glendale, NY 11385-7234
Phone
(718) 821-4424
Fax
(718) 802-1113
NPI assigned
Nov 15, 2012
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305581 NY Primary
Primary Care Nurse Practitioner 363LP2300X 30305581 NY

Addresses

Primary practice location

6829 Myrtle Ave
Glendale, NY 11385-7234

Mailing address

344 3Rd Ave
Apt 7a
New York, NY 10010-2397
Phone (314) 724-5961

Other practice location 1

35 Andrew Ct Fl 2
Southampton, NY 11968-2433
Phone (314) 724-5961

Other identifiers 3

IdentifierTypeStateIssuer
05110430MedicaidNY
A400223557OtherNYMEDICARE
1356685473OtherNYNPI

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
I20171204002394 NY Practitioner - Nurse Practitioner 8123069796 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305581NYMDAdult Health Nurse Practitioner
30305581NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC CurrentSince Aug 1, 2019 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Jan 16, 2024 Accepting new patients
Comprehensive Women's Health of N.Y. PLLC CurrentSince Aug 2, 2020 Accepting new patients
Astva Home Health Consulting, Inc. PastSince Dec 1, 2003 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

332 DeKalb Ave
Brooklyn, NY 11205
Phone (718) 687-6161

6451 Central Ave
Glendale, NY 11385
Phone (718) 669-7635

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1356685473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 3RD AVE",
            "address_2": "APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102397",
            "telephone_number": "314-724-5961",
            "fax_number": "646-895-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857234",
            "telephone_number": "718-821-4424",
            "fax_number": "718-802-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Andrew Ct Fl 2",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119682433",
            "country_code": "US",
            "telephone_number": "314-724-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKMAN",
        "first_name": "MARGARITA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305581",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "30305581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05110430",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400223557",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356685473",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.