Parvina Ibragimova, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F348577 Issued in NY

Practice address

62 Corona Ave
Staten Island, NY 10306-1151

Phone

(347) 967-2525

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1538895404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CORONA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061151",
            "telephone_number": "347-967-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CORONA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061151",
            "telephone_number": "347-967-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAGIMOVA",
        "first_name": "PARVINA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "123456",
            "identifier": "123456",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pi326@nyu.edu",
            "affiliation": "N",
            "address_1": "62 Corona Ave",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103061151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Louis Nicholas Iannuzzi, PT
• Benedette Eyiuche Ibenegbu, NURSE PRACTITIONER
• John Ibiam, LCSW
• Aneesa Ible, LCSW
• Manzila Ibragimova
• Dina Ibrahim
• Jineen Ibrahim
• Michael Ibrahim
• Rami Ibrahim, PT,DPT
• Sandy Ibrahim, PA

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, 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 Jul 25, 2022; 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.