Individual provider Active NPI

Marianna Mostovaya, M.S. ED.

  • Specialist
  • Richmond Hill, NY
National Provider Identifier
1801231337
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
868835 Issued in NY
Practice address
13411 Kew Gardens Rd
Richmond Hill, NY 11418-1930
Phone
(171) 844-1055
NPI assigned
May 10, 2013
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 868835 NY Primary

Addresses

Primary practice location

13411 Kew Gardens Rd
Richmond Hill, NY 11418-1930

Mailing address

22 Fairway Dr
Lake Success, NY 11020-1122
Phone (917) 215-4487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
868835NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1801231337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FAIRWAY DR",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110201122",
            "telephone_number": "917-215-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13411 KEW GARDENS RD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181930",
            "telephone_number": "171-844-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOVAYA",
        "first_name": "MARIANNA",
        "name_prefix": "Ms.",
        "credential": "M.S. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "868835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.