Organization Active NPI

Savi Mushiyev MD PC

  • Cardiovascular Disease Physician
  • South Richmond Hill, NY
National Provider Identifier
1790003374
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
240021 Issued in NY
Legal business name
SAVI MUSHIYEV MD PC
Practice address
10423 111TH St
South Richmond Hill, NY 11419-2415
Phone
(718) 323-6588
Fax
(631) 724-4119
NPI assigned
May 6, 2010
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Ms. Maureen Murray
Title
Billing Rep
Phone
(631) 366-0390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 240021 NY Primary

Addresses

Primary practice location

10423 111TH St
South Richmond Hill, NY 11419-2415

Mailing address

10250 62ND Rd
Apt 3G
Forest Hills, NY 11375-1056
Phone (718) 275-2224

Other identifiers 2

IdentifierTypeStateIssuer
MUSHIYEV01OtherNYCAQH
03162338MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100827000554 NY Part B Supplier - Clinic/Group Practice 1658495676 Receives reassigned benefits from 1 practitioner
Practice locations: South Richmond Hill, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1790003374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 62ND RD",
            "address_2": "APT 3G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751056",
            "telephone_number": "718-275-2224",
            "fax_number": "631-366-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 111TH ST",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192415",
            "telephone_number": "718-323-6588",
            "fax_number": "631-724-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVI MUSHIYEV MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "BILLING REP",
        "authorized_official_telephone_number": "631-366-0390",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "240021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "MUSHIYEV01",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03162338",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.