Berta Aminova, FNP
Individual provider Active NPI Family Nurse Practitioner · Fresh Meadows, NY
NPI 1972247617 · NPPES record last updated Apr 27, 2022
Key facts
- NPI
- 1972247617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F34918201 (NY)
- Practice address
- 7348 187TH St
Fresh Meadows, NY 11366-1724 - Phone
- (646) 286-8657
- NPI assigned
- Apr 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F34918201 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Hills Dermatology Group PLLC | Current |
Accepting new patients | |
| Dial Doc Now Medical Group PC | Past |
Accepting new patients |
Locations
14717 Jamaica Ave
Jamaica, NY 11435
Phone (718) 658-1700
8002 Kew Gardens Rd
Ste 107
Kew Gardens, NY 11415
Phone (718) 459-0900
10002 Rockaway Blvd
Ste 2
Ozone Park, NY 11417
Phone (718) 380-2330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F34918201 | NY | Yes |
Addresses
Primary practice location
7348 187TH St
Fresh Meadows, NY 11366-1724
Mailing address
7348 187TH St
Fresh Meadows, NY 11366-1724
Phone (646) 286-8657
Other providers in Fresh Meadows, NY
- Morgan C Ambro
- Rachel S Ament
- Ameriwound Physicians Ny PLLC
- Elinor Aminov
- Sharona Aminov
- Diana Aminova
- Celestina Andino
- Erika Andrades
- Marna F Angeles
- Diane Marie Apicella
All providers in Fresh Meadows, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.