Active NPI
Mariya Uvaydova
- Home Health Agency
- Bronx, NY
National Provider Identifier
1477146561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 3250 Westchester Ave
Bronx, NY 10461-4500 - Phone
- (917) 407-2297
- NPI assigned
- Feb 19, 2021
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3250 Westchester Ave
Bronx, NY 10461-4500
Mailing address
72 Cedar Dr
Great Neck, NY 11021-2840
Phone (917) 686-8805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741651911 | Other | FEDELIS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1477146561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CEDAR DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212840",
"telephone_number": "917-686-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104614500",
"telephone_number": "917-407-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UVAYDOVA",
"first_name": "MARIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDELIS",
"identifier": "741651911",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.