MR. ERIK P MORDUKHAYEV (NPI# 1851464853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851464853 |
| Entity Type | Individual |
| Full Name | MR. ERIK P MORDUKHAYEV |
| Credential | N.P. |
| Practice Address |
15705 Crossbay Blvd Howard Beach NY 11414-2748 |
| Mailing Address |
6395 Austin St Apt 2 F Rego Park NY 11374-3051 |
| Practice Telephone | 7188455252 |
| Mailing Telephone | 6463341324 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
303815 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15705 CROSSBAY BLVD |
| City | HOWARD BEACH |
| State | NY |
| Zip Code | 11414-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962505701 | Cvs Albany, LLC | Durable Medical Equipment & Medical Supplies | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2006-09-07 |
| 1811456411 | Alex Rabindra Singh | Pharmacist | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2019-03-14 |
| 1497225460 | Evelyn Nugent Giannetti | Nurse Practitioner | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2018-12-03 |
| 1073097556 | Michelle Komlo | Pharmacist | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2018-09-20 |
| 1245754688 | Michael V Locascio | Pharmacist | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2017-07-27 |
| 1881066942 | Sasha Lawson | Nurse Practitioner | 15705 Crossbay Blvd, Howard Beach, NY 11414-2774 | 2015-10-28 |
| 1164861100 | Nancy Catholic | Physical Therapist | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2013-06-24 |
| 1255637559 | Jmp Physical Therapy PC | Clinic/Center | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2011-02-03 |
| 1245545433 | Jillian Urquhart | Pharmacist | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2010-08-11 |
| 1861706632 | Amanda Christine Aceste | Pharmacist | 15705 Crossbay Blvd, Howard Beach, NY 11414-2748 | 2010-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665419 | Christina Ardelian | Pharmacist | 158-19 90th Street, Howard Beach, NY 11414 | 2019-12-05 |
| 1578021077 | Stephanie Nicole Gabriel | Nurse Practitioner | 15705 Cross Bay Blvd, Howard Beach, NY 11414 | 2019-03-04 |
| 1336603596 | Anthony Lawrence Napolitano, Md PC | Ophthalmology | 82-12 151 Avenue, Howard Beach, NY 11414 | 2019-01-22 |
| 1013490812 | Nicole J Celi | Specialist | 137-20 80th St, Howard Beach, NY 11414 | 2018-09-08 |
| 1013426543 | Aura C Lopez | Early Intervention Provider Agency | 85-09 151 Avenue, #4m, Howard Beach, NY 11414 | 2017-09-27 |
| 1386172427 | Lisamarie Newsom | Social Worker | 156-28 Cross Bay Blvd., Howard Beach, NY 11414 | 2017-06-02 |
| 1053788299 | Naomi Chassagne | Licensed Practical Nurse | 15631 78th St, Howard Beach, NY 11414 | 2015-08-24 |
| 1962885640 | Jessica Lava | Counselor | 160-07 87th Street, Howard Beach, NY 11414 | 2015-06-30 |
| 1437531647 | Debra Michelle Okun | Occupational Therapist | 82-12 151st Ave, Howard Beach, NY 11414 | 2015-06-24 |
| 1336543347 | Anne Marie Nolan | Family Medicine | 157-40 Cross Bay Blvd, Howard Beach, NY 11414 | 2014-10-20 |
| Find all providers in zip 11414 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316330103 | Crystal Lee Hernandez | Nurse Practitioner | 15641 79th St, Howard Beach, NY 11414-2502 | 2015-03-18 |
| 1568864908 | Saudia Alli | Nurse Practitioner | 8440 153rd Ave, Apt 1a, Howard Beach, NY 11414-1947 | 2014-09-17 |
| 1730792730 | Regina Geraci | Nurse Practitioner | 9407 156th Ave Ste 200, Howard Beach, NY 11414-2826 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | HOWARD BEACH |
| Zip Code | 11414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.