Active NPI
Tamar Iskhakov
- Family Nurse Practitioner
- Bayside, NY
National Provider Identifier
1679260657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F351191
- Practice address
- 4232 Francis Lewis Blvd
Bayside, NY 11361-2561 - Phone
- (718) 717-0003
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F351191 | NY | Primary |
Addresses
Primary practice location
4232 Francis Lewis Blvd
Bayside, NY 11361-2561
Mailing address
6750 180TH St
Fresh Meadows, NY 11365-3516
Phone (347) 421-6067
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 |
|---|---|---|---|
| F351191 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1679260657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 180TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653516",
"telephone_number": "347-421-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4232 FRANCIS LEWIS BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612561",
"telephone_number": "718-717-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKHAKOV",
"first_name": "TAMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F351191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.