Advanced Adult Health NP, PC.
NPI 1174804454ActiveOrganization· Nurse Practitioner, Adult Health· Bronx, NY
Nurse Practitioner, Adult Health in Bronx, New York, registered in NPPES in August 2011. The authorized official on file is Erik P. Mordukhayev, NP, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174804454 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2011 |
| Last updated in NPPES | Sep 2, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Nurse Practitioner, Adult Health providers in Bronx
- 1730091919
- 1699545483
- 1376124297
- 1770817397
- 1285730028
- 1528802535
- 1518008887
- 1659281681
- 1598562605
- 1285726208
- 1013677467
- 1972323574
All Nurse Practitioner, Adult Health providers in New York →