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MAKSIM NISENBOYM PA
NPI 1063785863
Physician Assistant in Briarwood, NY

Active since February 10, 2012PECOS Enrolled
14755 HOOVER AVE, BRIARWOOD, NY 11435(718) 523-5674 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maksim Nisenboym Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKSIM NISENBOYM PA (NPI 1063785863) is an individual physician assistant in Briarwood, New York, licensed in New York (015471) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063785863
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMAKSIM NISENBOYMCredential: PA
Location Address14755 HOOVER AVEBriarwood, NY 11435-2139
Mailing Address14755 Hoover AveBriarwood, NY 11435-2139 · (718) 523-5674
Phone(718) 523-5674
Sole ProprietorNo
Enumeration DateFebruary 10, 2012
✔ NPI 1063785863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 015471
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14755 HOOVER AVE, Briarwood, NY 11435
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maksim Nisenboym Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maksim Nisenboym's NPI number?

The NPI number for Maksim Nisenboym is 1063785863. It was assigned to this individual provider in the NPPES registry on February 10, 2012.

Where is Maksim Nisenboym located?

Maksim Nisenboym practices at 14755 Hoover Ave, Briarwood, NY 11435. The listed phone number is (718) 523-5674.

What is Maksim Nisenboym's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maksim Nisenboym enrolled in Medicare?

Yes. Maksim Nisenboym is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maksim Nisenboym was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.