Jonathan Maksumov, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344516 Issued in NY

Practice address

6405 Yellowstone Blvd Apt 101
Forest Hills, NY 11375-1534

Phone

(718) 896-3376

NPI assigned

Dec 17, 2015

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Josef Schenker MD PCGroup PAC ID 8022335330, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmaksumov44721@direct.medisys.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Josef Schenker MD PC

  dba Centers Urgent Care

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1275936932
  Medicare reassignment Care Compare group NPD
• Jamaica Hospital

  dba Jamaica Hospital Emergency Department - Radiology

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• Mission Medical Care PC

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1750898565

  Family

  Medicare reassignment NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• Fara Stricker Family Health Nurse Practitioner, P.C.

  dba Pura Vida Medical

  • Infusion Therapy Clinic/Center
  • Rockville Centre, NY
  • NPI 1669162970
  NPD (past)
• Health Quest Physical Therapy, P.C.

  • Specialist
  • Forest Hills, NY
  • NPI 1851571160
  NPD (past)
• Michael Paltiel MD PC

  dba Adult and Pediatric Dermatology

  • Medical Specialty Clinic/Center
  • Great Neck, NY
  • NPI 1013175165
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1063877082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9932 65TH AVE",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743653",
            "telephone_number": "917-497-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 YELLOWSTONE BLVD APT 101",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751534",
            "telephone_number": "718-896-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9932 65th Ave",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113743653",
            "country_code": "US",
            "telephone_number": "917-497-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKSUMOV",
        "first_name": "JONATHAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344516",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "698931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Mainwaring, MD
• Majer Rosenfeld MD PC
• Wai Yin Mak
• Elizabeth Makh
• Dinara Maksa, PH.D.
• Bella Maksumova
• Julinda Maksuti, MD
• Mal Drugs Inc
• Ariel Malakov
• Emily Malakov

• Family Nurse Practitioner in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.