EVGENIA MAYVALDOV NURSE PRACTITIONER IN GERONTOLOGY PC - NPI 1326990144

Q: What is Evgenia Mayvaldov Nurse Practitioner In Gerontology PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

On this page

About Evgenia Mayvaldov Nurse Practitioner In Gerontology Pc NPPES

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

EVGENIA MAYVALDOV NURSE PRACTITIONER IN GERONTOLOGY PC (NPI 1326990144) is a healthcare organization registered as a nurse practitioner in Oceanside, New York and active in the NPI registry since February 2026. The organization lists Evgenia Mayvaldov, Provider/medical Director, as its authorized official.

NPPES Registry Identity

NPI1326990144

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameEVGENIA MAYVALDOV NURSE PRACTITIONER IN GERONTOLOGY PC

Location Address3377 LONG BEACH RDOceanside, NY 11572-5063

Mailing Address3377 Long Beach RdOceanside, NY 11572-5063 · (516) 661-8352

Phone(516) 661-8352

Organization SubpartNo

Authorized OfficialEvgenia MayvaldovProvider/medical Director · (516) 661-8352

Enumeration DateFebruary 12, 2026

NPPES CertifiedFebruary 12, 2026

✔ NPI 1326990144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

3377 LONG BEACH RD, Oceanside, NY 11572

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

JASMINE SEDAGHATPOUR DDS

Dentist