- Practice location
- 3350 Victory Blvd, Staten Island, NY 10314-6792
- Phone
- 917-721-4494
- Fax
- —
- Last updated
- July 28, 2025
Mbd Care LLC is a healthcare organization based in Staten Island, NY. Mbd Care LLC practices in Staten Island, NY. The NPI Number for Mbd Care LLC is 1538042650. The current practice location address for Mbd Care LLC is 3350 Victory Blvd, Staten Island, NY 10314-6792 and can be reached out via phone at 917-721-4494.
Provider Profile Details
- NPI Number
- 1538042650
- Provider Name
- Mbd Care LLC
- Provider Entity Type
- Organization
- Address
- 3350 Victory Blvd, Staten Island, NY 10314-6792
- Phone Number
- 917-721-4494
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Tatiana Kidanov, MS, RD, CDN, CDCES · Owner/Managing Member · 917-721-4494
- Provider Enumeration Date
- July 28, 2025
- Last Update Date
- July 28, 2025
- Certification Date
- July 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3350 Victory Blvd
Staten Island, NY 10314-6792 - City
- Staten Island
- State
- New York
- Zip
- 10314-6792
- Phone Number
- 917-721-4494
Provider Business Mailing Address Details
- Address
- 36 Borman Ave
Staten Island, NY 10314-4957 - City
- Staten Island
- State
- NY
- Zip
- 10314-4957
- Phone Number
- 917-721-4494
License Information
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mbd Care LLC?
The NPI number of Mbd Care LLC is 1538042650. It was assigned on July 28, 2025 and is currently active in the NPPES registry.
What is the specialty of Mbd Care LLC?
Mbd Care LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Mbd Care LLC practice?
The practice location is 3350 Victory Blvd, Staten Island, NY 10314-6792. The office can be reached at 917-721-4494 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538042650 directly on the NPPES registry website.