YAKOV NISIMOV NP NPI 1952183980

NPI Information

  • NPI: 1952183980
  • Provider Name: YAKOV NISIMOV, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6333 98TH PL APT 3C
    REGO PARK, NY
    ZIP 11374
  • Phone: (718) 415-5494

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NPI Details

Yakov Nisimov, NP is a family nurse practitioner in Rego Park, NY with 3 years of experience. Yakov Nisimov, NP NPI is 1952183980. 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:

6333 98TH PL APT 3C
REGO PARK, NY
ZIP 11374-317
Phone: (718) 415-5494

The NPI 1952183980 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 10/16/2023 and was last updated on 9/3/2025.

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
1363LF0000XNurse PractitionerFamily352558NEW YORKYes

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: 11/21/2025

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