JONATHAN MAKSUMOV FNP NPI 1063877082

NPI Information

NPI: 1063877082
Provider Name: JONATHAN MAKSUMOV, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6405 YELLOWSTONE BLVD APT 101
FOREST HILLS, NY
ZIP 11375
Phone: (718) 896-3376
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Jonathan Maksumov, FNP is a family nurse practitioner in Forest Hills, NY with 5 years of experience. Jonathan Maksumov, FNP NPI is 1063877082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6405 YELLOWSTONE BLVD APT 101
FOREST HILLS, NY
ZIP 11375-534
Phone: (718) 896-3376

The NPI 1063877082 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 6/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		698931	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	344516	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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