Individual provider Active NPI

Rochel Sadykova, MSN, FNP -C

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1720830615
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353339 Issued in NY
Practice address
6519 Borden Ave FL Maspeth1
Flushing, NY 11378-1630
Phone
(646) 299-2226
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 737356 NY
Family Nurse Practitioner 363LF0000X 353339 NY Primary

Addresses

Primary practice location

6519 Borden Ave FL Maspeth1
Flushing, NY 11378-1630

Mailing address

6519 Borden Ave FL Maspeth1
Flushing, NY 11378-1630
Phone (646) 299-2226

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4647 W Cedar Lake Rd
Greenbush, MI 48738-9716

6519 Borden Ave
Maspeth, NY 11378-1630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
737356NYMDRegistered Nurse
353339NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1720830615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 BORDEN AVE FL MASPETH1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113781630",
            "telephone_number": "646-299-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 BORDEN AVE FL MASPETH1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113781630",
            "telephone_number": "646-299-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADYKOVA",
        "first_name": "ROCHEL",
        "credential": "MSN, FNP -C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "737356",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.