Active NPI
Jonathan Babayev
- Pharmacist
- Queens Village, NY
National Provider Identifier
1558027672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I068526
- Practice address
- 8023 208TH St
Queens Village, NY 11427-1006 - Phone
- (347) 944-8532
- NPI assigned
- Nov 12, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | I068526 | NY | Primary |
Addresses
Primary practice location
8023 208TH St
Queens Village, NY 11427-1006
Mailing address
965 Broadhollow Rd
Farmingdale, NY 11735-3906
Phone (631) 752-8980
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 |
|---|---|---|---|
| I068526 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1558027672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 BROADHOLLOW RD",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117353906",
"telephone_number": "631-752-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8023 208TH ST",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271006",
"telephone_number": "347-944-8532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABAYEV",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "I068526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.