Bernadette Ayala, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

735979 Issued in NY

Practice address

7103 Sutton PL Apt 3F
Fresh Meadows, NY 11365-4535

Phone

(516) 451-6891

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1598541302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 SUTTON PL APT 3F",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 SUTTON PL APT 3F",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654535",
            "telephone_number": "516-451-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "BERNADETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "735979",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "NY",
            "license": "735979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Elizabeth Avendano, PT, MS
• Zoleicho Avezbadalov, FNP
• Avi Pandey, M.D., PC.
• Diana Avizova, FNP
• Bella Avulova
• Gladys Ayala
• Ayelet P Goldberg, LCSW, PLLC
• Ahmad John Azizi
• Daniel Azof, MD
• B & Y Kids Resources LLC

• Administrator Registered Nurse in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Administrator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.