Nisimov Occupational Therapist P.C.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

022065 Issued in NY

Legal business name

NISIMOV OCCUPATIONAL THERAPIST P.C.

Practice address

7602 Utopia Pkwy
Fresh Meadows, NY 11366-1518

Phone

(347) 394-9896

NPI assigned

Jun 28, 2018

Last updated

Jun 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amnun Nisimov, OTNPI 1013420546

Title

Occupational Therapist

Phone

(347) 394-9896

Specialties & licenses 1

Addresses

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.

• Amnun Nisimov, OT

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1013420546
  Authorized official Same address or phone

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1649765819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 UTOPIA PKWY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661518",
            "telephone_number": "347-394-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 UTOPIA PKWY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661518",
            "telephone_number": "347-394-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISIMOV OCCUPATIONAL THERAPIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "NISIMOV",
        "authorized_official_first_name": "AMNUN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "347-394-9896",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Ling Ngai, MS, RD, CDN
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• Julie Alexa Niyazov
• Joanne Nizzo, M.A., CCC-SLP
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• Occupational Therapist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.