Individual provider Active NPI

Natali Moullaev

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1659280949
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355474 Issued in NY
Practice address
10546 63Rd Rd
Forest Hills, NY 11375-1349
Phone
(347) 777-8889
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 355474 NY Primary

Addresses

Primary practice location

10546 63Rd Rd
Forest Hills, NY 11375-1349

Mailing address

10546 63Rd Rd
Forest Hills, NY 11375-1349
Phone (347) 777-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1659280949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10546 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751349",
            "telephone_number": "347-777-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10546 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751349",
            "telephone_number": "347-777-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULLAEV",
        "first_name": "NATALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.