Ny Family Health NP Services PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NY FAMILY HEALTH NP SERVICES PC

Practice address

6333 98TH PL Apt 3C
Rego Park, NY 11374-2317

Phone

(718) 415-5494

NPI assigned

Feb 3, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Yakov Nisimov, FNPNPI 1952183980

Title

Authorized Official

Phone

(718) 415-5494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yakov Nisimov, NP

  • Family Nurse Practitioner
  • Rego Park, NY
  • NPI 1952183980
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1801600630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 150TH ST APT A20",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673803",
            "telephone_number": "718-415-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 98TH PL APT 3C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742317",
            "telephone_number": "718-415-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY FAMILY HEALTH NP SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "NISIMOV",
        "authorized_official_first_name": "YAKOV",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-415-5494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.