Individual provider Active NPI

Sitora Pulatova

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1962216283
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356029 Issued in NY
Practice address
428 E 72ND St Ofc 500
New York, NY 10021-0600
Phone
(917) 974-1934
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 356029 NY Primary

Addresses

Primary practice location

428 E 72ND St Ofc 500
New York, NY 10021-0600

Mailing address

428 E 72ND St Ofc 500
New York, NY 10021-0600

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
I20250923001063 NY Practitioner - Nurse Practitioner 3971008947 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)

525 E 68TH St
New York, NY 10065-4870

525 E 68TH St
F610
New York, NY 10065-4885

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Oct 1, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2025 Accepting new patients
Life Mobile Imaging, Inc PastSince Mar 11, 2025 Accepting new patients
Life Medical Group, PC PastSince Feb 24, 2025 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

428 E 72nd St
Ofc 400
New York, NY 10021
Phone (212) 746-2584

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

428 E 72nd St
Ofc 500
New York, NY 10021
Phone (212) 746-2344

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1962216283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST OFC 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST OFC 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210600",
            "telephone_number": "917-974-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULATOVA",
        "first_name": "SITORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.