Maisey Nisimov, MASTERS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024414-01 Issued in NY

Practice address

10920 Union Hall St
Jamaica, NY 11433-2902

Phone

(347) 209-8282

NPI assigned

Feb 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Moshe Nisimov Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT and OT for Senior Rehab at Home PLLCGroup PAC ID 2668711573, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PT and OT for Senior Rehab at Home PLLC

  • Geriatric Physical Therapist
  • Brooklyn, NY
  • NPI 1811463003
  Medicare reassignment Care Compare group NPD
• Maisey Nisimov Occupational Therapist

  • Occupational Therapist
  • Greenwood Lake, NY
  • NPI 1770241754
  NPD Authorized official

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1750915922",
    "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": "347-209-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 UNION HALL ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332902",
            "telephone_number": "347-209-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISIMOV",
        "first_name": "MAISEY",
        "credential": "MASTERS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024414-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOSHE",
            "last_name": "NISIMOV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nightingale Home Care Network Inc
• Dehnny V Nin
• Ketly Fortune Nino, D.D.S.
• Nishat Shahabuddin DMD PC
• Nusrat Nishat, BCBA
• Burkho Nisimova, PA
• Sarafina Nisita, M.S.
• Violeta Nisonov
• Jennifer Sarah Nissani, OTR/L, MA
• Lia Nissel, LCSW

• Occupational Therapist in Jamaica, NY
• Providers in Jamaica, 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 Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.