MARINA YUSUPOVA


Address: 100 Port Washington Blvd, Roslyn, NY 11576-1347
Phone: 5165626000

MARINA YUSUPOVA (NPI# 1568882306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568882306
Entity Type Individual
Full Name MARINA YUSUPOVA
Practice Address 100 Port Washington Blvd
Roslyn
NY 11576-1347
Practice Telephone 5165626000
Enumeration Date 2014-04-20
Last Update Date 2015-03-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner F338237-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARINA YUSUPOVA

NPI Name Taxonomy Address Enumeration
1720203722 Marina Yusupova Physician Assistant 3141 45th St, Long Island City, NY 11103-1621 2007-04-16

Office Location

Street Address 100 PORT WASHINGTON BLVD
City ROSLYN
State NY
Zip Code 11576-1347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598768624 Jack Soterakis Internal Medicine 100 Port Washington Blvd, Roslyn, NY 11576-1353 2005-05-23
1700499779 Olivia Paige Omage Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1353 2020-08-28
1871101006 Mark Granados Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-07-14
1871110692 Nicole Amanda Waxner Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-06-27
1710509062 Allison L Chan Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-05-09
1730715269 Sreeja Nair Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1353 2020-03-16
1871127027 Laura Grace Krukowski Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576 2020-02-26
1518591015 Punam Patel Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-02-24
1306486196 Brendan Heitz Physician Assistant 100 Port Washington Blvd, Roslyn, NY 11576-1347 2020-01-09
1740829613 Johanna Eve Schwartz Social Worker 100 Port Washington Blvd, Roslyn, NY 11576-1347 2019-12-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265075998 Haley W Feit Optometrist 1085 Northern Blvd, Roslyn, NY 11576 2019-10-25
1346765187 Fern Wendi Schanback Counselor 24 Mackay Way, Roslyn, NY 11576 2017-08-12
1932577574 Soma Fit Physical Therapy Pllc Physical Therapist 55 Lumber Rd, Suite 105, Roslyn, NY 11576 2015-09-14
1679953699 Linda D.r. Miller Speech-Language Pathologist 7 Woodland Road, Roslyn, NY 11576 2015-06-04
1629463450 Angela Maria Taveras Social Worker 141 Old Northern Blvd, Rosalyn, NY 11576 2015-03-30
1043594922 Robin Hananel Speech-Language Pathologist 29 The Oaks, Roslyn, NY 11576 2011-10-10
1073838207 Lucille A Barker Occupational Therapist 1441old Northern Blvd, Roslyn, NY 11576 2010-03-31
1518100163 Robert Eugene Goldberger Surgery 4 The Birches, Roslyn, NY 11576 2009-04-13
1336388461 Sarah Lamattina Counselor 1441 Old Northern Boulevard, Roslyn, NY 11576 2009-02-12
1508001553 Leslie Jane Brownstein Speech-Language Pathologist 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 2008-12-04
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730715269 Sreeja Nair Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1353 2020-03-16
1891343786 Erica Sarah Sklar Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1347 2019-09-03
1548771546 Angelina L David Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1347 2017-10-17
1447676044 Michelle Worrell Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1347 2014-03-07
1083942908 Irene Anne Sullivan Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1353 2009-12-04
1043453251 Maranda Manieram-arjune Nurse Practitioner 100 Port Washington Blvd., Suite 105, Roslyn, NY 11576-1353 2009-04-17
1790956142 Donna V. Ramharrack Nurse Practitioner 100 Port Washington Blvd., Suite 105, Roslyn, NY 11576-1353 2008-03-13
1346351384 Catherine D Maynard Nurse Practitioner 100 Port Washington Blvd, Roslyn, NY 11576-1347 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285235432 Koli Eckert Nurse Practitioner 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 2020-11-04
1134728942 Angelyn Arielle Brown Nurse Practitioner 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 2020-10-22
1871191056 Natalie Larissa Cohen Nurse Practitioner 555 Laguardia Pl, New York, NY 10012-1402 2020-10-11
1841807799 Raquel Shivanna Sookram Nurse Practitioner 5505 Myrtle Ave, Ridgewood, NY 11385-3550 2020-09-24
1154938264 Haessal Kim Nurse Practitioner 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 2020-09-23
1235745282 April Lynne Mott Nurse Practitioner 600 Ivy St Ste 108, Elmira, NY 14905-1627 2020-09-16
1407461676 Kim Marie Neenan-reilly Nurse Practitioner 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 2020-09-14
1336753680 Alexandra Lynn Picard Nurse Practitioner Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 2020-09-03
1205447224 Amita Vipul Patel Nurse Practitioner Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 2020-08-13
1992316996 Cassandra Dionne Saint-furcy Nurse Practitioner 6 Provenzano St, Inwood, NY 11096-1410 2020-08-12
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Competitor

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City ROSLYN
Zip Code 11576

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Dataset Information

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.

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