Individual provider Active NPI

Lachin Saparova

  • Family Nurse Practitioner
  • Rego Park, NY
National Provider Identifier
1902646607
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354059 Issued in NY
Practice address
6463 Austin St
Rego Park, NY 11374-4087
Phone
(718) 464-3000
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 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 354059 NY Primary

Addresses

Primary practice location

6463 Austin St
Rego Park, NY 11374-4087

Mailing address

29 Montrose Rd
Yonkers, NY 10710-2801

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
I20260306003052 NY Practitioner - Nurse Practitioner 2567944564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
354059NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethpage Medical, PLLC CurrentSince Jun 2, 2024 Accepting new patients
Nsuh Plainview Physicians Ufp Corporation CurrentSince Jan 28, 2026 Accepting new patients

Locations

123 Maple Ave
Cedarhurst, NY 11516
Phone (516) 295-1300

11241 Queens Blvd
Forest Hills, NY 11375
Phone (347) 321-7911

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1902646607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MONTROSE RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 AUSTIN ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744087",
            "telephone_number": "718-464-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPAROVA",
        "first_name": "LACHIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.