Nadezhda Nisimova, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007898 Issued in NY

Practice address

9119 Queens Blvd
Elmhurst, NY 11373-5531

Phone

(347) 295-1605

NPI assigned

Jul 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Dynamic Optical 37 Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1912691999
  Medicare reassignment NPD
• Glenridge Optical Warehouse Outlet Inc.

  • Optician
  • Ridgewood, NY
  • NPI 1982830964
  Medicare reassignment NPD
• Optical Warehouse Outlet Nyc Incorporated

  • Optometrist
  • Brooklyn, NY
  • NPI 1811604036
  Medicare reassignment NPD
• Ridgewood Optical Warehouse Outlet Corp.

  • Eyewear Supplier
  • Ridgewood, NY
  • NPI 1467501650
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1841546918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735531",
            "telephone_number": "347-295-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735531",
            "telephone_number": "347-295-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISIMOVA",
        "first_name": "NADEZHDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Abbas Niitsu, D.D.S
• Omid Nikrouz, MD
• Henry Franklin Nimoh, LCSW
• Catalina Maria Nino, M.D.
• Jelene Nique
• Sofia Niyazova, PHARM.D
• Obiora S Nnaji, M.D.
• Talya E Nof, M.S. O.T. R.L.
• Ji Heui Heui Noh, NP
• Joyce Nolasco

• Optometrist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.