Active NPI
Savi Mushiyev MD PC
- Cardiovascular Disease Physician
- South Richmond Hill, NY
National Provider Identifier
1790003374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 240021
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MUSHIYEV01 | Other | NY | CAQH |
| 03162338 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cardiovascular Disease Physician
- Forest Hills, NY
- NPI 1013179050
-
- Clinical Social Worker
- Smithtown, NY
- NPI 1831484468
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.