Individual provider Active NPI

Sofya Bababekova, FNP-C

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1871201202
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349415-01 Issued in NY
Practice address
10525 64TH Ave
Forest Hills, NY 11375-1640
Phone
(718) 459-3494
Fax
(718) 606-6069
NPI assigned
Nov 15, 2022
Last updated
May 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F349415-01 NY Primary

Addresses

Primary practice location

10525 64TH Ave
Forest Hills, NY 11375-1640

Mailing address

10525 64TH Ave
Forest Hills, NY 11375-1640
Phone (718) 459-3494

Other practice location 1

1401 Ocean Ave Ste Ld
Brooklyn, NY 11230-3998
Phone (718) 513-4455

Other practice location 2

19814 Epsom Crse
Hollis, NY 11423-1302
Phone (718) 896-0202

Other identifiers 1

IdentifierTypeStateIssuer
F03240876OtherNYTHE AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD, INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028003593 NY Practitioner - Nurse Practitioner 7517490600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

280 E Main St
Bay Shore, NY 11706-8403
Phone (631) 968-3293

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F349415-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince May 15, 2025 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2025 Accepting new patients
London Medical Diagnostic PC Family CurrentSince Apr 29, 2022 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Jamaica Hospital CurrentSince Oct 1, 2024 Accepting new patients
Jamaica Hospital CurrentSince Oct 1, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince May 15, 2025 Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

1401 Ocean Ave
Ste Ld
Brooklyn, NY 11230
Phone (718) 513-4455

300 Community Dr
Manhasset, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sbababekova172957@direct-chsli.net
  • Direct secure messaging: sofyabababekova@nslijmedgr.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1871201202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751640",
            "telephone_number": "718-459-3494",
            "fax_number": "718-606-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751640",
            "telephone_number": "718-459-3494",
            "fax_number": "718-606-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Ocean Ave Ste Ld",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112303998",
            "country_code": "US",
            "telephone_number": "718-513-4455",
            "fax_number": "718-375-1944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19814 Epsom Crse",
            "address_purpose": "LOCATION",
            "city": "Hollis",
            "state": "NY",
            "postal_code": "114231302",
            "country_code": "US",
            "telephone_number": "718-896-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABABEKOVA",
        "first_name": "SOFYA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349415-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN ACADEMY OF NURSE PRACTITIONERS NATIONAL CERTIFICATION BOARD, INC.",
            "identifier": "F03240876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.