Mbd Care LLC
NPI 1538042650 · Clinic/Center · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mbd Care LLC is a Clinic/Center organization in Staten Island, NY (NPI 1538042650).
Provider details
- NPI number
- 1538042650
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tatiana Kidanov, Owner/Managing Member(917) 721-4494
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1721 86th StBrooklyn, NY 11214-2817Phone: (917) 721-4494
Registry dates
- Enumerated
- 2025-07-28
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Frequently asked questions
- What is Mbd Care LLC's NPI number?
- Mbd Care LLC's National Provider Identifier (NPI) is 1538042650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mbd Care LLC?
- Mbd Care LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mbd Care LLC located?
- Mbd Care LLC's practice location on file with NPPES is 3350 Victory Blvd, Staten Island, NY 10314-6792.
- What is Mbd Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Mbd Care LLC is (917) 721-4494.
- Does Mbd Care LLC accept Medicare?
- Mbd Care LLC 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 Mbd Care LLC?
- The authorized official listed on Mbd Care LLC's NPPES record is Tatiana Kidanov, Owner/Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mbd Care LLC's NPI active?
- Yes — Mbd Care LLC's NPI (1538042650) is active in the NPPES registry as of the last update on 2025-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.