Advanced Adult Health NP, PC.
NPI 1174804454 · Adult Health Nurse Practitioner · Bronx, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Adult Health NP, PC. is a Adult Health Nurse Practitioner organization in Bronx, NY (NPI 1174804454).
Provider details
- NPI number
- 1174804454
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Erik Mordukhayev, President(718) 794-1000
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-31
- Last updated
- 2011-09-02
Frequently asked questions
- What is Advanced Adult Health NP, PC.'s NPI number?
- Advanced Adult Health NP, PC.'s National Provider Identifier (NPI) is 1174804454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Adult Health NP, PC.?
- Advanced Adult Health NP, PC. is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Advanced Adult Health NP, PC. located?
- Advanced Adult Health NP, PC.'s practice location on file with NPPES is 2109 Matthews Ave, Bronx, NY 10462-2614.
- What is Advanced Adult Health NP, PC.'s phone number?
- The practice phone number listed in the NPPES registry for Advanced Adult Health NP, PC. is (718) 794-1000.
- Does Advanced Adult Health NP, PC. accept Medicare?
- Advanced Adult Health NP, PC. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Adult Health NP, PC.?
- The authorized official listed on Advanced Adult Health NP, PC.'s NPPES record is Erik Mordukhayev, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Adult Health NP, PC.'s NPI active?
- Yes — Advanced Adult Health NP, PC.'s NPI (1174804454) is active in the NPPES registry as of the last update on 2011-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.