Individual provider Active NPI

Farida Julia Ganieva

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1417517160
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
683854 Issued in NY
Practice address
1 Gustave L Levy PL # 1010
New York, NY 10029-6504
Phone
(800) 627-4470
Fax
(412) 937-5710
NPI assigned
Jun 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 683854 NY
Certified Registered Nurse Anesthetist 367500000X 683854 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL # 1010
New York, NY 10029-6504

Mailing address

PO Box 5024
New York, NY 10087-5024
Phone (800) 627-4470

Other practice location 1

220 Boulder Ridge Rd # 9D
Scarsdale, NY 10583-3144
Phone (646) 422-9677

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Scarsdale Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314001801 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476948282 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians
MK Anesthesia Services PLLCGroup PAC ID 1557758307, 17 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

749 61St St
Brooklyn, NY 11220-5162
Phone (201) 767-4040

761 55TH St
FL 2
Brooklyn, NY 11220-3210
Phone (917) 880-0023

822 57TH St
Apt 1
Brooklyn, NY 11220-5196
Phone (917) 880-0023

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
683854NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Medical Management Corp Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jun 13, 2024 Accepting new patients
MK Anesthesia Services PLLC CurrentSince Jul 11, 2025 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Sep 1, 2022 Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

749 61st St
Brooklyn, NY 11220
Phone (201) 767-4040

3808 Union St
Flushing, NY 11354
Phone (718) 362-6298

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143

16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1417517160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5024",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875024",
            "telephone_number": "800-627-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 1010",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "800-627-4470",
            "fax_number": "412-937-5710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Boulder Ridge Rd # 9D",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105833144",
            "country_code": "US",
            "telephone_number": "646-422-9677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANIEVA",
        "first_name": "FARIDA",
        "middle_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-15",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "NY",
            "license": "683854",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "683854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Scarsdale",
            "affiliation": "N",
            "endpointDescription": "address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Scarsdale",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 Boulder Ridge Rd",
            "city": "Scarsdale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105833144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.