Irina Niazova Nurse Practitioner in Adult Health PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

IRINA NIAZOVA NURSE PRACTITIONER IN ADULT HEALTH PC

Practice address

9610 Metropolitan Ave
Forest Hills, NY 11375-6625

Phone

(718) 459-0400

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Irina Niazova, NP

Title

NP

Phone

(718) 459-0400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1316464936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6291 WETHEROLE ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741564",
            "telephone_number": "917-678-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 METROPOLITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756625",
            "telephone_number": "718-459-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA NIAZOVA NURSE PRACTITIONER IN ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "NIAZOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "718-459-0400",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Inoyatova, PHARM-D
• Interim Health Care
• Intermed Healthcare PC
• Antonietta Inzerelli
• Iod, Inc
• Lisa M Irvine
• Shawntaye Isaac
• Isak Isakov Medical, PC
• Maya Isakadze
• Lidiya Isakbaev

• Primary Care Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.