Active NPI
Lydia Musheyev
- Respite Care
- Rego Park, NY
National Provider Identifier
1407239106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Practice address
- 6408 Fleet St Ste Byu
Rego Park, NY 11374-5244 - Phone
- (718) 275-5275
- Fax
- (718) 275-2652
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
6408 Fleet St Ste Byu
Rego Park, NY 11374-5244
Mailing address
9707 63Rd Rd Apt 3N
Rego Park, NY 11374-1610
Phone (718) 812-8112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Club 55 Prestige | Respite Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Respite Care
- Rego Park, NY
- NPI 1912447905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1407239106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9707 63RD RD APT 3N",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741610",
"telephone_number": "718-812-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6408 FLEET ST STE BYU",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745244",
"telephone_number": "718-275-5275",
"fax_number": "718-275-2652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSHEYEV",
"first_name": "LYDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.