Individual provider Active NPI

Albert Mushiyev, FNP

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1770435265
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
358984 Issued in NY
Practice address
6861 Yellowstone Blvd Ste 118
Forest Hills, NY 11375-9403
Phone
(718) 840-9186
NPI assigned
Feb 10, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 358984 NY Primary

Addresses

Primary practice location

6861 Yellowstone Blvd Ste 118
Forest Hills, NY 11375-9403

Mailing address

10812 69TH Rd
Forest Hills, NY 11375-3843
Phone (718) 840-9186

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
I20260609002215 NY Practitioner - Nurse Practitioner 9335320969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10812 69TH Rd
Forest Hills, NY 11375-3843

18494 Via Di Sorrento
Boca Raton, FL 33496-1966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
358984NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Pharmacy of Ny, Inc PastSince Apr 15, 2012 Accepting new patients

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": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1770435265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10812 69TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753843",
            "telephone_number": "718-840-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 YELLOWSTONE BLVD STE 118",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113759403",
            "telephone_number": "718-840-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHIYEV",
        "first_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.