Individual provider Active NPI

Svetlana Basina

  • Adult Health Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1588120760
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308050-1 Issued in NY
Practice address
10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451
Phone
(718) 261-2992
NPI assigned
Feb 13, 2019
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F308050-1 NY Primary

Addresses

Primary practice location

10721 Queens Blvd Ste 6
Forest Hills, NY 11375-4451

Mailing address

180 Water St Apt 309
New York, NY 10038-5186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260302003129 NY Practitioner - Nurse Practitioner 8022590850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
City University of New York School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11045 Queens Blvd
Suite 104
Forest Hills, NY 11375-5501

14114 Jewel Ave
Flushing, NY 11367-1618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F308050-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Tavdy Medical Care PC CurrentSince Jan 1, 2026 Accepting new patients
Linda Podiatry PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

10721 Queens Blvd
Ste 6
Forest Hills, NY 11375
Phone (718) 261-2992

11045 Queens Blvd
Ste 104
Forest Hills, NY 11375
Phone (718) 261-2992

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1588120760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WATER ST APT 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 QUEENS BLVD STE 6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754451",
            "telephone_number": "718-261-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASINA",
        "first_name": "SVETLANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308050-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.