Shulamit Manahimov, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309533 Issued in NY

Practice address

9831 65TH Rd Apt 6D
Rego Park, NY 11374-3516

Phone

(347) 384-0246

NPI assigned

May 6, 2020

Last updated

May 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Complete Neurological Care PCGroup PAC ID 9537320593, 14 clinicians

SJ All Medical PCGroup PAC ID 9830412642, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Neurological Care PC

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1962775882
  Medicare reassignment Care Compare group NPD
• SJ All Medical PC

  • Clinical Neurophysiology Physician
  • Valley Stream, NY
  • NPI 1750793642
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1497376974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9831 65TH RD APT 6D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 65TH RD APT 6D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743516",
            "telephone_number": "347-384-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAHIMOV",
        "first_name": "SHULAMIT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulshan K Malhotra, M.D.
• Rajinder Singh Malhotra, M.D.
• Surinder S Malhotra, M.D.
• Dmitriy Malyshev, OTA
• Diana Mamonova, OTR/L, MSOT
• Mira Manashirova
• Sabiniano Funa Mangguray Jr., PT
• Manheim Family Foot Care LLC
• Arvind C Manik, D.O.
• Megha A Manik, M.D.

• Adult Health Nurse Practitioner in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.

Verify at the official NPI Registry.