Individual provider Active NPI

Nigina Mirazimova

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1891431391
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310737-01 Issued in NY
Practice address
26 Court St Ste 1210
Brooklyn, NY 11242-2810
Phone
(718) 679-7530
NPI assigned
May 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310737-01 NY Primary

Addresses

Primary practice location

26 Court St Ste 1210
Brooklyn, NY 11242-2810

Mailing address

2652 Cropsey Ave Apt 16G
Brooklyn, NY 11214-6732
Phone (718) 679-7530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmirazimova@specialtyinfusion.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122002164 NY Practitioner - Nurse Practitioner 3476921420 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F310737-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Civic Medicine, PLLC CurrentSince Jul 11, 2024 Accepting new patients
Nyc Medical Infusion PC CurrentSince Aug 2, 2022 Accepting new patients
Civic Wilton, PLLC PastSince Jul 11, 2024 Accepting new patients

Locations

26 Court St
Ste 1210
Brooklyn, NY 11242
Phone (347) 353-3502

1047 Surf Ave
Fl 2
Brooklyn, NY 11224
Phone (212) 249-8202

1140 Broadway
New York, NY 10001
Phone (516) 941-6824

175 E 96th St
New York, NY 10128
Phone (212) 426-1970

78 Todt Hill Rd
Ste 110
Staten Island, NY 10314
Phone (718) 227-5505

400 Columbus Ave
Ste 105S
Valhalla, NY 10595
Phone (203) 883-0038

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1651968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1891431391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 CROPSEY AVE APT 16G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146732",
            "telephone_number": "718-679-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1210",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112422810",
            "telephone_number": "718-679-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAZIMOVA",
        "first_name": "NIGINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310737-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmirazimova@specialtyinfusion.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1047 Surf Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112242810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.