Individual provider Active NPI

Breshna Sediqi Rasuli, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Fresh Meadows, NY
National Provider Identifier
1891688206
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2898244 Issued in NY
Practice address
6711 164TH St
Fresh Meadows, NY 11365-3162
Phone
(516) 407-0835
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2898244 NY Primary

Addresses

Primary practice location

6711 164TH St
Fresh Meadows, NY 11365-3162

Mailing address

6711 164TH St
Fresh Meadows, NY 11365-3162

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
I20260115001170 NY Practitioner - Nurse Practitioner 6608352034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

44 16TH St
Jericho, NY 11753-2416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
311843NYMDLicensed Practical Nurse
2898244NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Medical Services PC CurrentSince Dec 8, 2025 Accepting new patients
Edward Pineles, M.D., P.C. PastSince Dec 8, 2025 Accepting new patients

Locations

6709 164th St
Fresh Meadows, NY 11365
Phone (718) 268-2036

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1891688206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 164TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653162",
            "telephone_number": "516-407-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASULI",
        "first_name": "BRESHNA",
        "middle_name": "SEDIQI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "2898244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.