Active NPI
Stefany Nijman
- Family Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 351288
- Practice address
- 1052 Liberty Ave
Brooklyn, NY 11208-2913 - Phone
- (718) 805-0037
- Fax
- (866) 221-0897
- NPI assigned
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 351288 | NY | Primary |
Addresses
Primary practice location
1052 Liberty Ave
Brooklyn, NY 11208-2913
Mailing address
1052 Liberty Ave
Brooklyn, NY 11208-2913
Phone (718) 805-0037
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 351288 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Family Practice Physicians, PC | Multi-Specialty | Current | Accepting new patients |
| Nsuh Plainview Physicians Ufp Corporation | Multi-Specialty | Current | Accepting new patients |
| Ny Family Medical Docs PC | Past | Accepting new patients |
Locations
1052 Liberty Ave
Brooklyn, NY 11208
Phone (718) 235-5600
1575 E 19th St
Brooklyn, NY 11230
Phone (718) 339-3777
123 Maple Ave
Cedarhurst, NY 11516
Phone (516) 295-1300
123 Maple Ave
Ste 100
Cedarhurst, NY 11516
Phone (516) 295-6841
5036 Jericho Tpke
Ste 205
Commack, NY 11725
Phone (631) 385-8000
11241 Queens Blvd
Forest Hills, NY 11375
Phone (347) 321-7911
200 Garden City Plz
Ste 100
Garden City, NY 11530
Phone (516) 414-6900
4150 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 393-1000
3333 New Hyde Park Rd
Ste 100
New Hyde Park, NY 11042
Phone (516) 439-5300
7 W 51st St
Fl 4
New York, NY 10019
Phone (212) 629-2000
210 E 64th St
New York, NY 10065
Phone (212) 434-4312
8616 Jamaica Ave
Woodhaven, NY 11421
Phone (800) 992-6827
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.
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1508750332
Multi-Specialty
-
- Primary Care Clinic/Center
- Woodhaven, NY
- NPI 1790936854
Multi-Specialty
-
- Family Medicine Physician
- Woodhaven, NY
- NPI 1992204903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1972202026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082913",
"telephone_number": "718-805-0037",
"fax_number": "866-221-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 LIBERTY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082913",
"telephone_number": "718-805-0037",
"fax_number": "866-221-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIJMAN",
"first_name": "STEFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "351288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.