Family Health Nurse Practitioner Home Visits PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F333427-1 Issued in NY

Legal business name

FAMILY HEALTH NURSE PRACTITIONER HOME VISITS PC

Practice address

9605 220TH St
Queens Village, NY 11429-1347

Phone

(646) 201-8985

NPI assigned

Nov 21, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Kotov, NP

Title

Medical Director

Phone

(646) 201-8985

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Jacob, NP

  • Nurse Practitioner
  • New York, NY
  • NPI 1568685436
  NPD (past)
• Andres Placido Orozco, MD

  • Psychiatry Physician
  • Hollis, NY
  • NPI 1720140940
  NPD (past)
• Mahmood M Karimi, M.D.

  • Family Medicine Physician
  • Woodcliff Lake, NJ
  • NPI 1801979752
  NPD (past)

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

{
    "created_epoch": "1258761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1083942544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 220TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291347",
            "telephone_number": "646-201-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 220TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291347",
            "telephone_number": "646-201-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH NURSE PRACTITIONER HOME VISITS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-21",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "KOTOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-201-8985",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333427-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02177773",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G100065207",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nsikan Eyoudofia
• Lotanna Ezeofor
• Maria Fabunan, M.D.
• Faisal Masood Chiropractic Rehab P.C
• Alicia Pingol Falcon, MD
• Family Residences and Essential Enterprise, Inc.
• Abimbola Famuyiwa
• Esther Famuyiwa
• Shaunette Fanfair
• Neekoo Farahmandpour

• Family Nurse Practitioner in Queens Village, NY
• Providers in Queens Village, 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 Jan 12, 2016; 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.