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ADVANCED ADULT HEALTH NP, PC.
NPI 1174804454
Nurse Practitioner - Adult Health in Bronx, NY

Active since August 31, 2011
2109 MATTHEWS AVE, BRONX, NY 10462(718) 794-1000(718) 794-5264 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Adult Health Np, Pc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED ADULT HEALTH NP, PC. (NPI 1174804454) is a healthcare organization registered as an adult health in Bronx, New York and active in the NPI registry since August 2011. The organization lists Erik P Mordukhayev, President, as its authorized official.

NPPES Registry Identity

NPI1174804454
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameADVANCED ADULT HEALTH NP, PC.
Location Address2109 MATTHEWS AVEBronx, NY 10462-2614
Mailing Address2109 Matthews AveBronx, NY 10462-2614 · (718) 794-1000 · Fax (718) 794-5264
Phone(718) 794-1000
Fax(718) 794-5264
Organization SubpartNo
Authorized OfficialErik P MordukhayevPresident · (718) 794-1000
Enumeration DateAugust 31, 2011
Last NPPES UpdateSeptember 2, 2011
✔ NPI 1174804454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
2109 MATTHEWS AVE, Bronx, NY 10462
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALYA RODIONOVA MEDICAL CARE PC
Family Medicine
2109 MATTHEWS AVE
BRONX, NY 10462
Bronx County (718) 794-1000
BARBARA DADZIE
Nurse Practitioner (Family)
2109 MATTHEWS AVE
BRONX, NY 10462
Bronx County (718) 794-1000
DR RODIONOVA MEDICAL SERVICES PC
Family Medicine
2109 MATTHEWS AVE
BRONX, NY 10462
Bronx County (718) 794-1000
DR. NATALYA RODIONOVA M.D., D.O
Family Medicine
2109 MATTHEWS AVE
BRONX, NY 10462
Bronx County (718) 794-1000
ADINA DABIJA L.AC.
Acupuncturist
2109 MATTHEWS AVE
BRONX, NY 10462
Bronx County (917) 254-8340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Adult Health Np, PC.'s NPI number?

The NPI number for Advanced Adult Health Np, PC. is 1174804454. It was assigned to this organization in the NPPES registry on August 31, 2011.

Where is Advanced Adult Health Np, PC. located?

Advanced Adult Health Np, PC. is located at 2109 Matthews Ave, Bronx, NY 10462. The listed phone number is (718) 794-1000.

What is Advanced Adult Health Np, PC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Advanced Adult Health Np, PC. was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.