Serafima Nisimova, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009572 Issued in NY

Practice address

9519 63Rd Dr
Rego Park, NY 11374-2024

Phone

(718) 459-2020

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Forest Hills Optometry and Ophthalmic Dispensing PLLC

  • Optometrist
  • Forest Hills, NY
  • NPI 1881270437
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1215662846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 TRYON PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321440",
            "telephone_number": "718-844-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9519 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742024",
            "telephone_number": "718-459-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISIMOVA",
        "first_name": "SERAFIMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lili Ni, LIC.ACUP
• Quiana M Nichol
• Arisa Nimnuan, RN
• Chamnong Nimnuan, L.P.N.
• Yakov Nisimov, NP
• Irina Niyazov
• Anna Niyazova, PHARMD.
• Anabela Nobrega, M.S. ED
• Norma Sullivan
• Imma Normatova, MS, RD, CLC

• Optometrist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.