Individual provider Active NPI

Nilufar Juraeva

  • Registered Nurse
  • College Point, NY
National Provider Identifier
1497148134
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
693508 Issued in NY
Practice address
1846 College Point Blvd
2ND FL
College Point, NY 11356-2261
Phone
(516) 205-3638
NPI assigned
Mar 5, 2015
Last updated
Mar 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 693508 NY Primary

Addresses

Primary practice location

1846 College Point Blvd
2ND FL
College Point, NY 11356-2261

Mailing address

1846 College Point Blvd
2ND FL
College Point, NY 11356-2261
Phone (516) 205-3638

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

LicenseStateTypeSpecialty
693508NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1497148134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 COLLEGE POINT BLVD",
            "address_2": "2ND FL",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562261",
            "telephone_number": "516-205-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 COLLEGE POINT BLVD",
            "address_2": "2ND FL",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562261",
            "telephone_number": "516-205-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURAEVA",
        "first_name": "NILUFAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "693508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.