Individual provider Active NPI

Natalya Pozina

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1699177600
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348757 Issued in NY
Practice address
11247 Queens Blvd Ste 206
Forest Hills, NY 11375-7421
Phone
(718) 544-4200
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307090 NY
Family Nurse Practitioner 363LF0000X 348757 NY Primary

Addresses

Primary practice location

11247 Queens Blvd Ste 206
Forest Hills, NY 11375-7421

Mailing address

11247 Queens Blvd Ste 206
Forest Hills, NY 11375-7421
Phone (718) 544-4200

Other identifiers 1

IdentifierTypeStateIssuer
1326343625MedicaidNY

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
I20161202000589 NY Practitioner - Nurse Practitioner 9234419532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Neurological Care PCGroup PAC ID 9537320593, 14 clinicians

Practice addresses (Care Compare)

112 47 Queens Boulevard
Suite 206
Forest Hills, NY 11375-7421
Phone (718) 544-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307090NYMDAdult Health Nurse Practitioner
348757NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Neurological Care PC CurrentSince Jan 17, 2018 Accepting new patients
SJ All Medical PC CurrentSince Sep 24, 2016 Accepting new patients

Locations

11247 Queens Blvd
Ste 206
Forest Hills, NY 11375
Phone (718) 268-1750

225 Broadway
Ste 705
New York, NY 10007
Phone (212) 349-2787

150 E 55th St
Fl 4
New York, NY 10022
Phone (212) 349-2787

125 N Central Ave
Ste A
Valley Stream, NY 11580
Phone (516) 887-8808

139 N Central Ave
Ste 2
Valley Stream, NY 11580
Phone (516) 887-8808

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1699177600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD STE 206",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757421",
            "telephone_number": "718-544-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11247 QUEENS BLVD STE 206",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757421",
            "telephone_number": "718-544-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZINA",
        "first_name": "NATALYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307090",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326343625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.