Active NPI
Moisey Simkhayev, NP
- Adult Health Nurse Practitioner
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307403
- Practice address
- 4047 95TH St Apt B
Elmhurst, NY 11373 - Phone
- (646) 559-6699
- NPI assigned
- Aug 13, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307403 | NY | Primary |
Addresses
Primary practice location
4047 95TH St Apt B
Elmhurst, NY 11373
Mailing address
4047 95TH St Apt B
Elmhurst, NY 11373-1715
Phone (646) 559-6699
Other practice location 1
9701 66th Ave
Rego Park, NY 11374-4245
Phone (718) 406-7805
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
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4047 95TH St
Apt B
Elmhurst, NY 11373-1715
Phone (646) 559-6699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307403 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Concepts PC | Current | Accepting new patients | |
| Advanced Medical Concepts PC | Current | Accepting new patients | |
| Adult Health NP Nyc PC | Adult Health | Current | Accepting new patients |
Locations
4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631
16110 Jamaica Ave
Ste 301
Jamaica, NY 11432
Phone (212) 404-8080
15031 Union Tpke
Kew Gardens Hills, NY 11367
Phone (347) 454-2050
9701 66th Ave
Rego Park, NY 11374
Phone (718) 275-5200
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
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.
-
- Adult Health Nurse Practitioner
- Elmhurst, NY
- NPI 1073250957
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- NPI 1356651251
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1891702742
-
- Durable Medical Equipment & Medical Supplies
- Flushing, NY
- NPI 1508306184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1356717342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4047 95TH ST APT B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731715",
"telephone_number": "646-559-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4047 95TH ST APT B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "646-559-6699"
}
],
"practiceLocations": [
{
"address_1": "9701 66th Ave",
"address_purpose": "LOCATION",
"city": "Rego Park",
"state": "NY",
"postal_code": "113744245",
"country_code": "US",
"telephone_number": "718-406-7805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMKHAYEV",
"first_name": "MOISEY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-13",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.