Individual provider Active NPI

Michal Malka Sarikov, FNP-BC-C

  • Family Nurse Practitioner
  • Fresh Meadows, NY
National Provider Identifier
1669355236
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357087 Issued in NY
Practice address
6731 182ND St
Fresh Meadows, NY 11365-3505
Phone
(347) 848-4968
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 357087 NY Primary

Addresses

Primary practice location

6731 182ND St
Fresh Meadows, NY 11365-3505

Mailing address

6731 182ND St
Fresh Meadows, NY 11365-3505
Phone (347) 848-4968

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

LicenseStateTypeSpecialty
357087NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1669355236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 182ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653505",
            "telephone_number": "347-848-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 182ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653505",
            "telephone_number": "347-848-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIKOV",
        "first_name": "MICHAL",
        "middle_name": "MALKA",
        "credential": "FNP-BC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.