Individual provider Active NPI

Stefany Nijman

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1972202026
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351288 Issued in NY
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

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226000867 NY Practitioner - Nurse Practitioner 9830534239 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
351288NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Family Practice Physicians, PC Multi-Specialty CurrentSince Jan 15, 2024 Accepting new patients
Nsuh Plainview Physicians Ufp Corporation Multi-Specialty CurrentSince Jan 12, 2026 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.

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

Verify at the official NPI Registry.