Individual provider Active NPI

Fira Nihamin, MD

  • Internal Medicine Physician
  • Woodside, NY
National Provider Identifier
1750378592
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
152113 Issued in NY
Practice address
3965 52ND St
Woodside, NY 11377-3254
Phone
(718) 429-0039
Fax
(718) 429-6965
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 152113 NY Primary

Addresses

Primary practice location

3965 52ND St
Woodside, NY 11377-3254

Mailing address

3965 52ND St
Woodside, NY 11377-3254
Phone (718) 429-0039

Other identifiers 1

IdentifierTypeStateIssuer
00787884MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000440 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890975080 Practice locations: Woodside, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fleetwood Medical Care PLLC Internal Medicine PastSince Aug 30, 2024 Accepting new patients
Fira Nihamin Physician PC Internal Medicine PastSince Dec 29, 1994 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1750378592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 52ND ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773254",
            "telephone_number": "718-429-0039",
            "fax_number": "718-429-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 52ND ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773254",
            "telephone_number": "718-429-0039",
            "fax_number": "718-429-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIHAMIN",
        "first_name": "FIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "152113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00787884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.