Active NPI
Mehribon Muminova, DDS
- General Practice Dentistry
- Floral Park, NY
National Provider Identifier
1811682537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 064057
- Practice address
- 24850 Jericho Tpke
Floral Park, NY 11001-4002 - Phone
- (516) 488-1500
- NPI assigned
- Apr 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 064057 | NY | Primary |
Addresses
Primary practice location
24850 Jericho Tpke
Floral Park, NY 11001-4002
Mailing address
1921 Bay Ave Apt 6K
Brooklyn, NY 11230-6259
Phone (347) 458-9355
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064057 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1811682537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 BAY AVE APT 6K",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306259",
"telephone_number": "347-458-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24850 JERICHO TPKE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110014002",
"telephone_number": "516-488-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMINOVA",
"first_name": "MEHRIBON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "064057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.