Individual provider Active NPI

Natalya Ageyeva, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1982863072
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F304294 Issued in NY
Practice address
First Ave at 16TH St
New York, NY 10003
Phone
(212) 420-2757
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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 F304294 NY Primary

Addresses

Primary practice location

First Ave at 16TH St
New York, NY 10003

Mailing address

4332 Kissena Blvd
9E
Flushing, NY 11355-2934
Phone (718) 445-0190

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
I20260210003261 NY Practitioner - Nurse Practitioner 7214416163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

229 W 36TH St
FL 10
New York, NY 10018-8949

271 Doughty Blvd
Inwood, NY 11096-2135

8721 Bay Pkwy Apt
2D
Brooklyn, NY 11214-5122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F304294NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Family Medical Associates, P.C. CurrentSince Jan 3, 2026 Accepting new patients

Locations

50 Court St
Brooklyn Heights, NY 11201
Phone (718) 522-3131

342 Beach 54th St
Far Rockaway, NY 11692
Phone (718) 474-0801

271 Doughty Blvd
Inwood, NY 11096
Phone (516) 239-4244

229 W 36th St
Fl 10
New York, NY 10018
Phone (212) 695-5122

Organizations & group practices 1

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1982863072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 KISSENA BLVD",
            "address_2": "9E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552934",
            "telephone_number": "718-445-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST AVE AT 16TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEYEVA",
        "first_name": "NATALYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.