Organization Active NPI

S.G. NP in Family Health

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1639059264
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
S.G. NP IN FAMILY HEALTH
Practice address
14716 77TH Rd
Flushing, NY 11367-3429
Phone
(718) 930-2643
Fax
(800) 691-4181
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Mr. Simkha Gulkarov, FNPNPI 1366337271
Title
Owner
Phone
(718) 930-2643

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

14716 77TH Rd
Flushing, NY 11367-3429

Mailing address

14716 77TH Rd
Flushing, NY 11367-3429
Phone (718) 930-2643

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1639059264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14716 77TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673429",
            "telephone_number": "718-930-2643",
            "fax_number": "800-691-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14716 77TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673429",
            "telephone_number": "718-930-2643",
            "fax_number": "800-691-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.G. NP IN FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "GULKAROV",
        "authorized_official_first_name": "SIMKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-930-2643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.