Individual provider Active NPI

Margarita Mushiyeva, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1417513821
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344335 Issued in NY
Practice address
480 Court St
Brooklyn, NY 11231-4091
Phone
(347) 830-3003
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344335 NY Primary

Addresses

Primary practice location

480 Court St
Brooklyn, NY 11231-4091

Mailing address

8911 63Rd Dr Apt 603
Rego Park, NY 11374-3816

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
I20241122000907 NY Practitioner - Nurse Practitioner 3971784505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
344335NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care for You PC CurrentSince Nov 1, 2024 Accepting new patients
My Health NP in Family Health PC CurrentSince Jan 1, 2025 Accepting new patients
Excel Medical PC PastSince Oct 1, 2018 Accepting new patients

Locations

3200 Bronx Blvd
Bronx, NY 10467
Phone (718) 515-9807

6711 164th St
Fresh Meadows, NY 11365
Phone (718) 762-4500

130 Lake Ave S
Bsmt
Nesconset, NY 11767

211 Lake Shore Rd
#2
Ronkonkoma, NY 11779

626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1417513821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 63RD DR APT 603",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314091",
            "telephone_number": "347-830-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHIYEVA",
        "first_name": "MARGARITA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.