Active NPI
Marina Movashov, RN
- Specialist
- Rockaway Park, NY
National Provider Identifier
1417738626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 566492-01
- Practice address
- 11506 Rockaway Beach Blvd
Rockaway Park, NY 11694-2346 - Phone
- (917) 992-2197
- NPI assigned
- Oct 12, 2023
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 566492-01 | NY | Primary |
Addresses
Primary practice location
11506 Rockaway Beach Blvd
Rockaway Park, NY 11694-2346
Mailing address
8117 168TH St
Jamaica, NY 11432-1325
Phone (917) 992-2197
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 566492-01 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1417738626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8117 168TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321325",
"telephone_number": "917-992-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11506 ROCKAWAY BEACH BLVD",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942346",
"telephone_number": "917-992-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOVASHOV",
"first_name": "MARINA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "566492-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.