Organization Active NPI

Advanced Practitioner Services

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1457974602
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ADVANCED PRACTITIONER SERVICES
Practice address
1208 Bowman St Ste 1
Clermont, FL 34711-3144
Phone
(863) 216-2700
Fax
(845) 327-1074
NPI assigned
May 22, 2020
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Mr. Arthur Kharonov, NPNPI 1992258164
Title
Provider
Phone
(732) 599-0690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1208 Bowman St Ste 1
Clermont, FL 34711-3144

Mailing address

1208 Bowman St Ste 1
Clermont, FL 34711-3144
Phone (863) 216-2700

Other practice location 1

400 Rella Blvd Ste 207-415
Montebello, NY 10901-4241
Phone (732) 599-0690

Other practice location 2

345 US Highway 9 Ste 360
Englishtown, NJ 07726-3269
Phone (732) 599-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210330001669 FL Part B Supplier - Clinic/Group Practice 6507288842 Receives reassigned benefits from 1 practitioner
Practice locations: Clermont, FL; Davenport, FL
O20230821001390 NY Part B Supplier - Clinic/Group Practice 6507288842 Receives reassigned benefits from 1 practitioner
Practice locations: Suffern, NY

National Provider Directory

National Provider Directory

Locations

1208 Bowman St
Ste 1
Clermont, FL 34711
Phone (863) 216-2700

1208 Bowman St
Ste 12
Clermont, FL 34711

450 E Highway 50
Ste 4
Clermont, FL 34711

109 Ambersweet Way
Davenport, FL 33897
Phone (321) 663-6375

345 US Highway 9
Ste 360
Manalapan, NJ 07726

120 Valley Rd
Montclair, NJ 07042
Phone (201) 490-4333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1457974602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BOWMAN ST STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113144",
            "telephone_number": "863-216-2700",
            "fax_number": "845-327-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 BOWMAN ST STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113144",
            "telephone_number": "863-216-2700",
            "fax_number": "845-327-1074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Rella Blvd Ste 207-415",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "NY",
            "postal_code": "109014241",
            "country_code": "US",
            "telephone_number": "732-599-0690",
            "fax_number": "845-327-1074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 US Highway 9 Ste 360",
            "address_purpose": "LOCATION",
            "city": "Englishtown",
            "state": "NJ",
            "postal_code": "077263269",
            "country_code": "US",
            "telephone_number": "732-599-0690",
            "fax_number": "845-327-1074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PRACTITIONER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "KHARONOV",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "732-599-0690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.