Individual provider Active NPI

Michael Iskhakbayev, FNP

  • Family Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1467258194
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356133 Issued in NY
Practice address
14718 84TH Ave
Jamaica, NY 11435-2148
Phone
(646) 620-3762
NPI assigned
Feb 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 356133 NY Primary

Addresses

Primary practice location

14718 84TH Ave
Jamaica, NY 11435-2148

Mailing address

14718 84TH Ave
Jamaica, NY 11435-2148
Phone (646) 620-3762

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310001694 NY Practitioner - Nurse Practitioner 8628551553

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14718 84TH Ave
Jamaica, NY 11435-2148

3438 Bell Blvd
Suite 301
Bayside, NY 11361-1745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
356133NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC CurrentSince Feb 9, 2026 Accepting new patients

Locations

838 Fair St
Carmel, NY 10512
Phone (718) 892-6600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1467258194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14718 84TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352148",
            "telephone_number": "646-620-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14718 84TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352148",
            "telephone_number": "646-620-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKHAKBAYEV",
        "first_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.