Sitora N Mirsoatova, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01480600 Issued in NJ

Practice address

1111 Amsterdam Ave
New York, NY 10025-1716

Phone

(212) 523-4000

NPI assigned

Dec 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Life Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland, NJ
  • NPI 1578380630
  Medicare reassignment NPD Authorized official
• Icahn School of Medicine at Mount Sinai

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
  • NPI 1750626560
  Medicare reassignment NPD
• Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clark, NJ
  • NPI 1245637578
  Medicare reassignment NPD
• Counseling Center at Fair Lawn, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fair Lawn, NJ
  • NPI 1407276975
  Medicare reassignment NPD
• Counseling Center at Freehold LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Freehold, NJ
  • NPI 1013269216
  Medicare reassignment NPD
• Counseling Center at Toms River LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toms River, NJ
  • NPI 1326442971
  Medicare reassignment NPD
• Life Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland, NJ
  • NPI 1689492134
  NPD Authorized official
• Icahn School of Medicine at Mount Sinai

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1881059178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "646-244-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRSOATOVA",
        "first_name": "SITORA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01480600",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F431844",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leili Mirsadraei
• Yassamin Mirsajedin, LMSW
• Nina Mirsakov, D.O.
• Julia Mirsky
• Michelle S Mirsky, DDS
• Rosna M Mirtcheva-Trocheva
• Anna-Luisa Mirto, MD, MPH
• Joseph R Mirto, D.C.
• Jessica Mae Mirvis
• Shoshana Mirvis, PSYD

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.