Individual provider Active NPI

Mayya Babayeva, RN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1902113780
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341161-01 Issued in NY
Practice address
75 Maiden Lane
Gotham Per Diem Inc
New York, NY 10038
Phone
(212) 477-3600
Fax
(212) 477-0795
NPI assigned
Sep 1, 2010
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341161-01 NY Primary
Registered Nurse 163W00000X 585546-1 NY

Addresses

Primary practice location

75 Maiden Lane
Gotham Per Diem Inc
New York, NY 10038

Mailing address

6329 Dry Harbor Rd
Middle Village
Middle Village, NY 11379-1964
Phone (718) 396-0792

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
585546-1NYMDRegistered Nurse
F341161-01NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1902113780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 DRY HARBOR RD",
            "address_2": "MIDDLE VILLAGE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791964",
            "telephone_number": "718-396-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIDEN LANE",
            "address_2": "GOTHAM PER DIEM INC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "212-477-3600",
            "fax_number": "212-477-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAYEVA",
        "first_name": "MAYYA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341161-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "585546-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.