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BERTA YAGUDAYEVA
NPI 1346064607
Nurse Practitioner - Family in New Hyde Park, NY

Active since November 13, 2024PECOS EnrolledAccepts Medicare Assignment
2 OHIO DR STE 101, NEW HYDE PARK, NY 11042(516) 622-6088 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Berta Yagudayeva NPPES

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

BERTA YAGUDAYEVA (NPI 1346064607) is an individual family provider in New Hyde Park, New York, licensed in New York (353510) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346064607
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBERTA YAGUDAYEVA
Location Address2 OHIO DR STE 101New Hyde Park, NY 11042-1111
Mailing Address7544 187th StreetFresh Meadows, NY 11366
Phone(516) 622-6088
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 13, 2024
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1346064607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 353510
2 OHIO DR STE 101, New Hyde Park, NY 11042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Berta Yagudayeva is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779018619
PECOS Enrollment IDI20241202000728
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MISS KRISTINE ALYSSA CHEVANNES LPN
Licensed Practical Nurse
2 OHIO DR STE 101
NEW HYDE PARK, NY 11042
Nassau County (516) 622-6000
DR. YAKOV SHAULOV MD
Psychiatry & Neurology (Neurology)
2 OHIO DR STE 101
NEW HYDE PARK, NY 11042
Nassau County (516) 622-6088

Frequently Asked Questions

What is Berta Yagudayeva's NPI number?

The NPI number assigned to this healthcare provider is 1346064607, enumerated as an "individual" on November 13, 2024.

Where is the provider located?

The provider is located at 2 OHIO DR STE 101 NEW HYDE PARK, NY 11042 and the phone number is (516) 622-6088.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.