AVENUE S NP IN FAMILY HEALTH PC
NPI 1497573760
Nurse Practitioner - Family in Brooklyn, NY
About Avenue S Np In Family Health Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVENUE S NP IN FAMILY HEALTH PC (NPI 1497573760) is a healthcare organization registered as a family in Brooklyn, New York and active in the NPI registry since September 2024. The organization lists Shahzoda Yuldasheva, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avenue S Np In Family Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Avenue S Np In Family Health PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Avenue S Np In Family Health PC's NPI number?
The NPI number for Avenue S Np In Family Health PC is 1497573760. It was assigned to this organization in the NPPES registry on September 26, 2024.
Where is Avenue S Np In Family Health PC located?
Avenue S Np In Family Health PC is located at 3364 Nostrand Ave, Brooklyn, NY 11229. The listed phone number is (347) 651-9939.
What is Avenue S Np In Family Health PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Avenue S Np In Family Health PC enrolled in Medicare?
Yes. Avenue S Np In Family Health PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avenue S Np In Family Health PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Avenue S Np In Family Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Avenue S Np In Family Health PC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Avenue S Np In Family Health Pc · NPI 1497573760
Family organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since September 26, 2024.
## Identity
- **NPI:** 1497573760 (Entity type: Organization)
- **Enumerated:** September 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Shahzoda Yuldasheva, OWNER
## Practice location
- **Address:** 3364 NOSTRAND AVE, Brooklyn, NY 11229-4004
- **Phone:** (347) 651-9939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497573760) · Data from the CMS NPPES public registry.