Active NPI
Michelle Nektalov
- Family Nurse Practitioner
- Jamaica, NY
National Provider Identifier
1265366728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F359933-01
- Practice address
- 18221 80TH Rd
Jamaica, NY 11432-1403 - Phone
- (347) 255-5415
- NPI assigned
- Jun 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F359933-01 | NY | Primary |
Addresses
Primary practice location
18221 80TH Rd
Jamaica, NY 11432-1403
Mailing address
18221 80TH Rd
Jamaica, NY 11432-1403
Phone (347) 255-5415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1265366728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18221 80TH RD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321403",
"telephone_number": "347-255-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18221 80TH RD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321403",
"telephone_number": "347-255-5415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEKTALOV",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-10",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F359933-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.