Active NPI
Fatima Gazayeva
- Family Nurse Practitioner
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 342639
- Practice address
- 134B Cuba Ave
Staten Island, NY 10306-4941 - Phone
- (347) 609-3052
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 342639 | NY | Primary |
| Family Nurse Practitioner | 363LF0000X | 26NJ15384100 | NJ |
Addresses
Primary practice location
134B Cuba Ave
Staten Island, NY 10306-4941
Mailing address
134B Cuba Ave
Staten Island, NY 10306-4941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681
622 Laurel Ave
Hazlet, NJ 07730-2681
Phone (732) 787-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15384100 | NJ | MD | Family Nurse Practitioner |
| 342639 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Py Medical Services of Ny PLLC | Single Specialty | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Single Specialty | Current | Accepting new patients |
| Medical Director Services PC | Single Specialty | Current | Accepting new patients |
| Py Medical Services of NJ LLC | Single Specialty | Current | Accepting new patients |
| Boro Park Operating Co LLC | Single Specialty | Current | Accepting new patients |
| Healthdrive Medical Services Southeast LLC | Single Specialty | Current | Accepting new patients |
| HDC Care Solutions, LLC | Single Specialty | Current | Accepting new patients |
| Patient First Medical Practice PC | Single Specialty | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Mind Your Munchkin LTD | Single Specialty | Past | Accepting new patients |
Locations
622 Laurel Ave
Hazlet, NJ 07730
Phone (212) 219-8100
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
104 Pension Rd
Manalapan, NJ 07726
Phone (732) 446-1804
65 Jay St
Newark, NJ 07103
Phone (973) 447-8882
103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514
3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
4915 10th Ave
Brooklyn, NY 11219
Phone (718) 851-3700
1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133
9131 175th St
#13292
Jamaica, NY 11432
645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400
822 Cedar Ave
#13282
Niagara Falls, NY 14301
Phone (716) 272-1207
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000
65 Ashburton Ave
#13202
Yonkers, NY 10701
Phone (914) 963-4572
65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Newark, NJ
- NPI 1942912381
Single Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1427356930
Single Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1255067955
Single Specialty
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
NJ, Single Specialty
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY, Single Specialty
-
- Internal Medicine Physician
- Fowler, OH
- NPI 1760199988
NY, Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Psychiatric/Mental Health Nurse Practitioner
- Providence, RI
- NPI 1538813415
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1770062226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134B CUBA AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103064941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134B CUBA AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103064941",
"telephone_number": "347-609-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAZAYEVA",
"first_name": "FATIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "342639",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15384100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.