Active NPI
Dinah Nurilov, PA
- Medical Physician Assistant
- Hollis, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- P82289
- Practice address
- 9160 193Rd St
Apt 3D
Hollis, NY 11423-3549 - Phone
- (646) 402-2589
- NPI assigned
- Jul 30, 2013
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | P82289 | NY | Primary |
Addresses
Primary practice location
9160 193Rd St
Apt 3D
Hollis, NY 11423-3549
Mailing address
9160 193Rd St
Apt 3D
Hollis, NY 11423-3549
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
3701 Broadway
Astoria, NY 11103-4199
Phone (929) 265-5990
Hospital & facility affiliations
- South Brooklyn Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015633 | NY | MD | Clinical Psychologist |
| P82289 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Lij, Urgent Care, P.C. | Current | Accepting new patients |
Locations
5828 99th St
Flushing, NY 11368
Phone (718) 502-9867
41 E 8th St
New York, NY 10003
Phone (212) 897-1991
377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- dinah.nurilov@ghuc.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- General Practice Physician
- New York, NY
- NPI 1306138383
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1174965396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9160 193RD ST",
"address_2": "APT 3D",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114233549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 193RD ST",
"address_2": "APT 3D",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114233549",
"telephone_number": "646-402-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NURILOV",
"first_name": "DINAH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "P82289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.