Active NPI
Sholom Tokov
- Family Nurse Practitioner
- Flushing, NY
National Provider Identifier
1639903677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 359932
- Practice address
- 14905 79TH Ave Apt 316
Flushing, NY 11367-3825 - Phone
- (347) 513-9372
- NPI assigned
- Aug 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 359932 | NY | Primary |
| Specialist | 174400000X | 880864 | NY |
Addresses
Primary practice location
14905 79TH Ave Apt 316
Flushing, NY 11367-3825
Mailing address
14905 79TH Ave Apt 316
Flushing, NY 11367-3825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 880864 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1639903677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14905 79TH AVE APT 316",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14905 79TH AVE APT 316",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673825",
"telephone_number": "347-513-9372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOKOV",
"first_name": "SHOLOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-30",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "359932",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "880864",
"primary": false
}
],
"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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.