Individual provider Active NPI

Arthur Kharonov

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1992258164
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006992 Issued in FL
Practice address
1208 Bowman St
Clermont, FL 34711-3144
Phone
(732) 599-0690
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11006992 FL Primary
Family Nurse Practitioner 363LF0000X F340565 NY
Family Nurse Practitioner 363LF0000X 26NJ00675300 NJ

Addresses

Primary practice location

1208 Bowman St
Clermont, FL 34711-3144

Mailing address

109 Ambersweet Way Ste 642
Davenport, FL 33897-8418
Phone (732) 599-0690

Other practice location 1

345 US Highway 9 Ste 360
Englishtown, NJ 07726-3269
Phone (732) 599-0690

Other practice location 2

307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone (877) 993-4321

Other practice location 3

400 Rella Blvd Ste 207-415
Montebello, NY 10901-4241
Phone (732) 599-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170302001948 NJ Practitioner - Nurse Practitioner 3971881269 Reassigns benefits to 2 organizations
I20181114002592 NY Practitioner - Nurse Practitioner 3971881269 Reassigns benefits to 3 organizations
I20210621002710 FL Practitioner - Nurse Practitioner 3971881269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Citywide Urgent Care NJ LLCGroup PAC ID 0042628018, 7 clinicians

Practice addresses (Care Compare)

Davenport, FL 33897
Phone (732) 599-0690

109 Ambersweet Way
Suite 642
Davenport, FL 33897-8418

1208 Bowman St
Suite 1And2
Clermont, FL 34711-3144
Phone (732) 599-0690

322 Glenwood Ave
Suite 5
Bloomfield, NJ 07003-2413
Phone (332) 225-9814

450 E Hwy 50
Suite 4
Clermont, FL 34711-2581
Phone (732) 599-0690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006992FLMDFamily Nurse Practitioner
F340565NYMDFamily Nurse Practitioner
340565NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practitioner Services LLC Family Current Accepting new patients
BP Immediate Medical Care, PC CurrentSince Jan 15, 2026 Accepting new patients
Valley Physician Services, Inc. Past Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Renata Witkowska Asthma Allergy and Sinus PLLC PastSince Jun 15, 2025 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients
Urban Family Practice PC Family Past Accepting new patients

Locations

109 Ambersweet Way
Davenport, FL 33897
Phone (321) 663-6375

3808 14th Ave
Brooklyn, NY 11218
Phone (718) 972-2424

735 Bedford Ave
Brooklyn, NY 11205
Phone (201) 688-2424

7537 31st Ave
Flushing, NY 11370
Phone (929) 447-7513

2 Suffern Ln
Garnerville, NY 10923
Phone (845) 218-0809

400 Rella Blvd
Ste 207415
Suffern, NY 10901

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: akharonov@hiemail.healtheconnections.org
  • Direct secure messaging: arthurkharonov@cmdci.allscriptsdirect.net

Organizations & group practices 10

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1992258164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 AMBERSWEET WAY STE 642",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978418",
            "telephone_number": "732-599-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 BOWMAN ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113144",
            "telephone_number": "732-599-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 US Highway 9 Ste 360",
            "address_purpose": "LOCATION",
            "city": "Englishtown",
            "state": "NJ",
            "postal_code": "077263269",
            "country_code": "US",
            "telephone_number": "732-599-0690",
            "fax_number": "845-327-1074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Egg Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080801850",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "fax_number": "845-327-1074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Rella Blvd Ste 207-415",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "NY",
            "postal_code": "109014241",
            "country_code": "US",
            "telephone_number": "732-599-0690",
            "fax_number": "845-327-1074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHARONOV",
        "first_name": "ARTHUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006992",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00675300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.