Active NPI
Igor Nemov
- Gerontology Nurse Practitioner
- New York, NY
National Provider Identifier
1043361918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 340578
- Practice address
- Evercare
1 Penn Plaza, 7TH FL. Ste. 725
New York, NY 10119 - Phone
- (212) 216-6678
- Fax
- (212) 216-6606
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 340578 | NY | Primary |
Addresses
Primary practice location
Evercare
1 Penn Plaza, 7TH FL. Ste. 725
New York, NY 10119
Mailing address
Evercare
1 Penn Plaza, 7TH FL. Ste. 725
New York, NY 10119
Phone (212) 216-6678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340578 | NY | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043361918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVERCARE",
"address_2": "1 PENN PLAZA, 7TH FL. STE. 725",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10119",
"telephone_number": "212-216-6678",
"fax_number": "212-216-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVERCARE",
"address_2": "1 PENN PLAZA, 7TH FL. STE. 725",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10119",
"telephone_number": "212-216-6678",
"fax_number": "212-216-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMOV",
"first_name": "IGOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "340578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.