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MEDINA MISHIYEVA MD
NPI 1508493446
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY

Active since March 23, 2020PECOS Enrolled
1111 MARCUS AVE, NEW HYDE PARK, NY 11042(516) 266-3565 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Mar 25, 2020 (2 updates tracked since 2020).

About Medina Mishiyeva Md NPPES

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

MEDINA MISHIYEVA MD (NPI 1508493446) is an individual student in an organized health care education/training program in New Hyde Park, New York and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508493446
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMEDINA MISHIYEVACredential: MD
Location Address1111 MARCUS AVENew Hyde Park, NY 11042-1221
Mailing Address1111 Marcus AveNew Hyde Park, NY 11042-1221 · (516) 266-3565
Phone(516) 266-3565
Sole ProprietorYes
Enumeration DateMarch 23, 2020
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1508493446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 MARCUS AVE, 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 (PECOS)

Medina Mishiyeva Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 19

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

MRS. CHANDRA LAIKHA DOOKRAN FNP
Nurse Practitioner (Family)
1111 MARCUS AVE, SUITE LL20
NEW HYDE PARK, NY 11042
Nassau County (516) 734-7000
NOAH D KAUFF MD
Obstetrics & Gynecology (Gynecologic Oncology)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 321-2241
NICOLE PUIDOKAS NP
Nurse Practitioner (Family)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 224-2800
LYNDSEY RAE PLISKIN MD
Student in an Organized Health Care Education/Training Program
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (718) 470-3206
DAVID KATZ M.D.
Pediatrics (Pediatric Cardiology)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 691-7276
MR. EDMUND C NEBO NP
Nurse Practitioner (Gerontology)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (917) 940-1980
DR. ABDULRAOUF YOUSEF LAMOSHI MD
Surgery (Pediatric Surgery)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (513) 491-6382
ALYSSA ANN ROME NP
Nurse Practitioner (Family)
1111 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (718) 470-3000

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 Medina Mishiyeva's NPI number?

The NPI number for Medina Mishiyeva is 1508493446. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Medina Mishiyeva located?

Medina Mishiyeva practices at 1111 Marcus Ave, New Hyde Park, NY 11042. The listed phone number is (516) 266-3565.

What is Medina Mishiyeva's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Medina Mishiyeva enrolled in Medicare?

Yes. Medina Mishiyeva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Medina Mishiyeva was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.