Individual provider Active NPI

Estera Babayeva, FNP

  • Family Health Clinical Nurse Specialist
  • Staten Island, NY
National Provider Identifier
1578821633
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
F341674-1 Issued in NY
Practice address
248 Kensington Ave
Staten Island, NY 10305-3623
Phone
(718) 612-0623
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 644292 NY
Family Health Clinical Nurse Specialist 364SF0001X F341674-1 NY Primary

Addresses

Primary practice location

248 Kensington Ave
Staten Island, NY 10305-3623

Mailing address

248 Kensington Ave
Staten Island, NY 10305-3623
Phone (718) 612-0623

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
644292NYMDRegistered Nurse
F341674-1NYMDFamily Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1578821633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 KENSINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053623",
            "telephone_number": "718-612-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 KENSINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053623",
            "telephone_number": "718-612-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAYEVA",
        "first_name": "ESTERA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "644292",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NY",
            "license": "F341674-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.