Individual provider Active NPI

Ella Ashurova, AGNP

  • Adult Health Nurse Practitioner
  • Syosset, NY
National Provider Identifier
1649734245
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308503 Issued in NY
Practice address
150 Eileen Way Unit 1
Syosset, NY 11791-5313
Phone
(516) 855-5255
Fax
(516) 921-2451
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 308503 NY Primary

Addresses

Primary practice location

150 Eileen Way Unit 1
Syosset, NY 11791-5313

Mailing address

2872 86TH St Apt 3B
Brooklyn, NY 11223-4666
Phone (718) 873-6171

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
I20190225002039 NY Practitioner - Nurse Practitioner 6103165840 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308503NYMDAdult Health Nurse Practitioner

Organizations & group practices 1

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1649734245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 86TH ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234666",
            "telephone_number": "718-873-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EILEEN WAY UNIT 1",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915313",
            "telephone_number": "516-855-5255",
            "fax_number": "516-921-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHUROVA",
        "first_name": "ELLA",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.