Ms NP Adult Health PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

307403 Issued in NY

Legal business name

MS NP ADULT HEALTH PLLC

Practice address

4047 95TH St Apt B
Elmhurst, NY 11373-1715

Phone

(646) 559-6699

NPI assigned

May 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Moisey Simkhayev, NP

Title

Nurse Practitioner

Phone

(646) 559-6699

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1053768044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 95TH ST APT B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731715",
            "telephone_number": "646-559-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 95TH ST APT B",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731715",
            "telephone_number": "646-559-6699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 66th Ave",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "11374",
            "country_code": "US",
            "telephone_number": "718-406-7805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MS NP ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "SIMKHAYEV",
        "authorized_official_first_name": "MOISEY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "646-559-6699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.