Individual provider Active NPI

Angela Babayeva, FNP

  • Family Nurse Practitioner
  • Fresh Meadows, NY
National Provider Identifier
1457112294
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F351905-01 Issued in NY
Practice address
6911A 188TH St Apt 3a
Fresh Meadows, NY 11365-3752
Phone
(347) 859-0828
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 F351905-01 NY Primary

Addresses

Primary practice location

6911A 188TH St Apt 3a
Fresh Meadows, NY 11365-3752

Mailing address

6911A 188TH St Apt 3a
Fresh Meadows, NY 11365-3752
Phone (347) 859-0828

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
I20240429000235 NY Practitioner - Nurse Practitioner 1850735358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relief Leaf NP Family Health PCGroup PAC ID 7315356177, 5 clinicians

Practice addresses (Care Compare)

14444 73Rd Ave
Flushing, NY 11367-2413
Phone (646) 919-1871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F351905-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Leaf NP Family Health PC Family CurrentSince Mar 18, 2024 Accepting new patients
Anr Family Medicine Inc CurrentSince Jul 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1457112294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911A 188TH ST APT 3A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653752",
            "telephone_number": "347-859-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911A 188TH ST APT 3A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653752",
            "telephone_number": "347-859-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAYEVA",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351905-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.