Elsa Fikri Bahiru

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F309123-1 Issued in NY

Practice address

120 Mineola Blvd Ste 500
Mineola, NY 11501-4074

Phone

(516) 663-9500

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1851937445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 MONROE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD STE 500",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014074",
            "telephone_number": "516-663-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHIRU",
        "first_name": "ELSA",
        "middle_name": "FIKRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "736632",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F309123-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Azueta
• Daniella Babayeva, FNP
• Joseph L Bacotti, MD
• Natanniel Badalov, PHARMD
• Peter Gun Baek, MD
• Caroline Bak, PA
• Sangyoun Bak
• Rudolph Laurence Baldeo, M.D.
• Wendy Balopole, M.D.
• Katelynn Anne Balot, NP

• Nurse Practitioner in Mineola, NY
• Providers in Mineola, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.