Yelena Dzhurayeva

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

311020 Issued in NY

Practice address

8832 69TH Rd
Forest Hills, NY 11375-6610

Phone

(917) 583-1171

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1366130080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8832 69TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756610",
            "telephone_number": "917-583-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8832 69TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756610",
            "telephone_number": "917-583-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZHURAYEVA",
        "first_name": "YELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Junior Duverne, OTR/L
• Dy Medical Supply Inc
• Ruben Dybner, MD
• Dynamic Care OT, PT, SLP PLLC
• Dynasty Dental Care, PC
• Early R.E.I.D. Inc
• Early Steps PT PC
• East Coast Medical Associate, P.C.
• Eastern Care Acupuncture P.C
• Liberty Rhea R Ebarle, PT

• Adult Health Nurse Practitioner in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.