Active NPI
Anna Bangiyeva
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1487582060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 357166
- Practice address
- 2232 Kimball St Ste a
Brooklyn, NY 11234-5148 - Phone
- (917) 216-2032
- NPI assigned
- May 12, 2026
- Last updated
- Jun 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 357166 | NY | |
| Family Nurse Practitioner | 363LF0000X | 357166 | NY | Primary |
Addresses
Primary practice location
2232 Kimball St Ste a
Brooklyn, NY 11234-5148
Mailing address
63164 Alderton St
Rego Park, NY 11374-3945
Other practice location 1
40 Fulton St
New York, NY 10038-1850
Phone (212) 935-3333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 357166 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1487582060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63164 ALDERTON ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 KIMBALL ST STE A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112345148",
"telephone_number": "917-216-2032"
}
],
"practiceLocations": [
{
"address_1": "40 Fulton St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100381850",
"country_code": "US",
"telephone_number": "212-935-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGIYEVA",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-12",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NY",
"license": "357166",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "357166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.