Mariyam Yagudayeva, MASTERSIN EDUCATION

Primary specialty

SpecialistTaxonomy code 174400000X

License

1371259191 Issued in NY

Practice address

15005 78TH Ave
Flushing, NY 11367-3436

Phone

(971) 535-6743

NPI assigned

Jan 16, 2020

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

Other names 1

• Mariyam Yagudayeva Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aatyy Learning Inc

  • Early Intervention Provider Agency
  • Flushing, NY
  • NPI 1427782176
  NPD Authorized official

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1396375515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 78TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673436",
            "telephone_number": "971-535-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 78TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673436",
            "telephone_number": "971-535-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGUDAYEVA",
        "first_name": "MARIYAM",
        "credential": "MASTERSIN EDUCATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1371259191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIYAM",
            "last_name": "YAGUDAYEVA",
            "credential": "MASTERS IN EDUCATION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sabina Yagudaeva
• Ariel Yagudayev
• Daniel Yagudayev, MS
• Leora Yagudayev
• Frida Yagudayeva
• Mayya Yagudayeva
• Nadezhda Yagudayeva
• Marina Yahuda, OT
• Olga Yakobov
• Yakubov NP in Family Health PLLC

• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.