Individual provider Active NPI

Ninara Ibragimova

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1952298408
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307405-1 Issued in NY
Practice address
1301 Avenue K Apt 4E
Brooklyn, NY 11230-4346
Phone
(917) 635-4360
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 F307405-1 NY Primary

Addresses

Primary practice location

1301 Avenue K Apt 4E
Brooklyn, NY 11230-4346

Mailing address

1301 Avenue K Apt 4E
Brooklyn, NY 11230-4346
Phone (917) 635-4360

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
I20250630000356 NY Practitioner - Nurse Practitioner 8527571983 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F307405-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1952298408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 AVENUE K APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304346",
            "telephone_number": "917-635-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 AVENUE K APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304346",
            "telephone_number": "917-635-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAGIMOVA",
        "first_name": "NINARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307405-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.