Individual provider Active NPI

Fatima Gazayeva

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1770062226
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342639 Issued in NY
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

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342639 NY Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210208002325 NY Practitioner - Nurse Practitioner 0345655148 Reassigns benefits to 4 organizations
Practice locations: Staten Island, NY
I20260103510121 NJ Practitioner - Nurse Practitioner 0345655148 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

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

LicenseStateTypeSpecialty
26NJ15384100NJMDFamily Nurse Practitioner
342639NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical Services of Ny PLLC Single Specialty CurrentSince Jun 19, 2023 Accepting new patients
Barnabas Health Medical Group PC Single Specialty CurrentSince Jan 20, 2026 Accepting new patients
Medical Director Services PC Single Specialty CurrentSince Dec 29, 2022 Accepting new patients
Py Medical Services of NJ LLC Single Specialty CurrentSince Jan 20, 2026 Accepting new patients
Boro Park Operating Co LLC Single Specialty CurrentSince Feb 7, 2023 Accepting new patients
Healthdrive Medical Services Southeast LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
HDC Care Solutions, LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Patient First Medical Practice PC Single Specialty CurrentSince May 31, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 20, 2026 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.

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

Verify at the official NPI Registry.