Individual provider Active NPI

Aziz Ganiev, RN

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1609739697
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
945363 Issued in NY
Practice address
157 McVeigh Ave
Staten Island, NY 10314-6138
Phone
(347) 782-4588
NPI assigned
Dec 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 945363 NY Primary

Addresses

Primary practice location

157 McVeigh Ave
Staten Island, NY 10314-6138

Mailing address

157 McVeigh Ave
Staten Island, NY 10314-6138
Phone (347) 782-4588

Other names 1

  • Azizjon Odiljonov Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
945363NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1609739697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MCVEIGH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146138",
            "telephone_number": "347-782-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MCVEIGH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146138",
            "telephone_number": "347-782-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANIEV",
        "first_name": "AZIZ",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "945363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZIZJON",
            "last_name": "ODILJONOV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 5, 2025; 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.