Avenue S NP in Family Health PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AVENUE S NP IN FAMILY HEALTH PC

Practice address

3364 Nostrand Ave
Brooklyn, NY 11229-4004

Phone

(347) 651-9939

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Shahzoda Yuldasheva, NP

Title

Owner

Phone

(347) 651-9939

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Abdrabou

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1801395157

  Single Specialty

  NPD (past)
• Mohamed Ahmed Abdelwahab Mohamed

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1912588245
  NPD (past)

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1497573760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVERTON ST",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294004",
            "telephone_number": "347-651-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE S NP IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "YULDASHEVA",
        "authorized_official_first_name": "SHAHZODA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-651-9939",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avenue O Pharmacy Inc
• Avenue P Medical Arts P.C.
• Avenue P Medical Arts P.C.
• Avenue P Medical PC
• Avenue P Medical Services, PC
• Avenue S Rehab PT PC
• Avenue T Chiropractic, PC
• Avenue U Dental Arts
• Avenue U Footcare
• Avenue U Kings County Medical PLLC

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.