Active NPI
Maria Shalukhova, AGNP, PMHNP
- Adult Health Nurse Practitioner
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307294
- Practice address
- 25 Bank St Apt 212B
White Plains, NY 10606-7004 - Phone
- (716) 380-7874
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404459 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 307294 | NY | Primary |
Addresses
Primary practice location
25 Bank St Apt 212B
White Plains, NY 10606-7004
Mailing address
25 Bank St Apt 212B
White Plains, NY 10606-7004
Phone (716) 380-7874
Other practice location 1
4248 Ridge Lea Rd
Suite 126
Amherst, NY 14226-1053
Phone (716) 833-3237
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
157 E 72ND St
New York, NY 10021-4333
Phone (718) 239-0030
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.02 of 100
- Quality
- 67.92
- Improvement activities
- 40
- Cost
- 65.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307294 | NY | MD | Adult Health Nurse Practitioner |
| 404459 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Healthcare Services P.C. | Current | Accepting new patients | |
| Mobile Primary Care Family Nurse Practitioners, PLLC | Current | Accepting new patients | |
| Shalukhova NP in Adult Health and NP in Psychiatry PLLC | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients | |
| Stall Senior Medical LLC | Past | Accepting new patients |
Locations
612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
640 Ellicott St
Ste 105
Buffalo, NY 14203
Phone (716) 218-7169
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450
14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1427342658
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1699514281
-
- Family Nurse Practitioner
- Buffalo, NY
- NPI 1669673349
-
- Geriatric Medicine (Internal Medicine) Physician
- Getzville, NY
- NPI 1104087915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1700268778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BANK ST APT 212B",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106067004",
"telephone_number": "716-380-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BANK ST APT 212B",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106067004",
"telephone_number": "716-380-7874"
}
],
"practiceLocations": [
{
"address_1": "4248 Ridge Lea Rd",
"address_2": "Suite 126",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "NY",
"postal_code": "142261053",
"country_code": "US",
"telephone_number": "716-833-3237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHALUKHOVA",
"first_name": "MARIA",
"name_prefix": "Ms.",
"credential": "AGNP, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "404459",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.