Active NPI
Shahnoz Rustamova
- Obstetrics Physician
- New York, NY
National Provider Identifier
1629112149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 245082
- Practice address
- 200 W 57TH St
Ste 1005
New York, NY 10019-3237 - Phone
- (212) 974-0490
- NPI assigned
- Feb 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 245082 | NY | Primary |
Addresses
Primary practice location
200 W 57TH St
Ste 1005
New York, NY 10019-3237
Mailing address
134 West, 58TH Street,
Suite102
New York, NY 10019
Phone (212) 974-0490
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
134 W 58TH St
Suite 102
New York, NY 10019-2153
Phone (212) 974-0490
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245082 | NY | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Power of Health and Wellness LLC | Current | Accepting new patients | |
| Central Park Medical Practice | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Ruth Steinberg, MD, LLC | Past | Accepting new patients |
Locations
1025 Military Trl
Ste 113
Jupiter, FL 33458
Phone (561) 354-1002
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- srustamova14549@nychhc.direct-ci.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Jupiter, FL
- NPI 1891546180
-
- Specialist
- New York, NY
- NPI 1396901468
-
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
-
- Gynecology Physician
- New York, NY
- NPI 1689894347
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1629112149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 WEST, 58TH STREET,",
"address_2": "SUITE102",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-974-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 57TH ST",
"address_2": "STE 1005",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193237",
"telephone_number": "212-974-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSTAMOVA",
"first_name": "SHAHNOZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-17",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "NY",
"license": "245082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.