Individual provider Active NPI

Adelya Minulina, FNP

  • Family Nurse Practitioner
  • Jackson Heights, NY
National Provider Identifier
1629730965
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348245-01 Issued in NY
Practice address
3740 81St St Apt A9
Jackson Heights, NY 11372-6957
Phone
(917) 680-1518
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F348245-01 NY Primary

Addresses

Primary practice location

3740 81St St Apt A9
Jackson Heights, NY 11372-6957

Mailing address

3740 81St St Apt A9
Jackson Heights, NY 11372-6957

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
I20251028000074 NY Practitioner - Nurse Practitioner 4880183243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 W 58TH St
Apt 1E
New York, NY 10019-1477

522 Oritani PL
Teaneck, NJ 07666-1638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F348245-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinkas E.Lebovits, M.D., P.C. CurrentSince Aug 16, 2025 Accepting new patients
Lifecare Medical Office, PC Past Accepting new patients

Locations

1870 Grand Concourse
Bronx, NY 10457
Phone (718) 294-5588

200 W 58th St
New York, NY 10019
Phone (212) 757-7010

200 W 58th St
Apt 1E
New York, NY 10019
Phone (212) 757-7010

200 W 58th St
Frnt 1
New York, NY 10019

5 Hamilton Pl
New York, NY 10031
Phone (212) 234-4949

5 Hamilton Pl
Fl 2
New York, NY 10031
Phone (212) 281-0700

601 W 182nd St
New York, NY 10033
Phone (212) 781-7555

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1629730965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 81ST ST APT A9",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 81ST ST APT A9",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726957",
            "telephone_number": "917-680-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINULINA",
        "first_name": "ADELYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348245-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.