Individual provider Active NPI

Meri Nisimova, MD

  • Psychiatry Physician
  • Richmond Hill, NY
National Provider Identifier
1124063219
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
235257 Issued in NY
Practice address
8900 Van Wyck Expy
Dept. of Psychiatry
Richmond Hill, NY 11418-2832
Phone
(718) 206-7160
Fax
(718) 206-7169
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 235257 NY Primary

Addresses

Primary practice location

8900 Van Wyck Expy
Dept. of Psychiatry
Richmond Hill, NY 11418-2832

Mailing address

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-7160

Other practice location 1

7558 113th St
Forest Hills, NY 11375-2204
Phone (718) 268-9595

Other identifiers 1

IdentifierTypeStateIssuer
02673201MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926001291 NY Practitioner - Psychiatry 2961436183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Isak Isakov Medical, PCGroup PAC ID 9739259987, 3 clinicians
Queens Nassau Psychiatric Services PLLCGroup PAC ID 8628398765, 9 clinicians
Jamaica Psychiatric Services, PCGroup PAC ID 5597747535, 34 clinicians

Practice addresses (Care Compare)

6536 99TH St
Apt 1P
Rego Park, NY 11374-4301
Phone (718) 897-0700

7558 113TH St
Forest Hills, NY 11375-2204
Phone (718) 268-9595

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-7160

Merit-based Incentive Payment System (MIPS)

Final score
97.18 of 100Reported as group
Quality
75.22
Promoting interoperability
90
Improvement activities
40
Cost
90.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
235257NYMDPsychiatry Physician
TEMPLAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Psychiatric Services, PC CurrentSince Jul 1, 2005 Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients
Better Health NP in Adult Health PC Past Accepting new patients
Forest Hills Psychiatric Services, P.C PastSince Apr 1, 2021 Accepting new patients
Jamaica Hospital Past Accepting new patients
Jamaica Hospital Past Accepting new patients
Jamaica Hospital Past Accepting new patients

Locations

8940 135th St
Richmond Hill, NY 11418
Phone (718) 206-5000

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mnisimova3793@direct.medisys.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1124063219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "718-206-7160",
            "fax_number": "718-206-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "address_2": "DEPT. OF PSYCHIATRY",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "718-206-7160",
            "fax_number": "718-206-7169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7558 113th St",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752204",
            "country_code": "US",
            "telephone_number": "718-268-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISIMOVA",
        "first_name": "MERI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "235257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02673201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.