Active NPI
Nessrin Suliman
- Geriatric Medicine (Internal Medicine) Physician
- Queens, NY
National Provider Identifier
1174428791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- P146407
- Practice address
- 119 09 26TH Avenue
Queens, NY 11354 - Phone
- (718) 762-6100
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | P146407 | NY | Primary |
Addresses
Primary practice location
119 09 26TH Avenue
Queens, NY 11354
Mailing address
85 14 Wareham PL
Jamaica, NY 11432-3048
Phone (917) 702-6783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1174428791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 14 WAREHAM PL",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323048",
"telephone_number": "917-702-6783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 09 26TH AVENUE",
"city": "QUEENS",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-762-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULIMAN",
"first_name": "NESSRIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "P146407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.