JONATHAN MAKSUMOV FNP
NPI 1063877082
Nurse Practitioner - Family in Forest Hills, NY
About Jonathan Maksumov Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN MAKSUMOV FNP (NPI 1063877082) is an individual family provider in Forest Hills, New York, licensed in New York (344516) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rego Park, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonathan Maksumov Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jonathan Maksumov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 738 clinicians in this Medicare group
Middle Village, NY 11379
- Reassigned Medicare billing, New York enrollment
- 69 clinicians in this Medicare group
Rockville Centre, NY 11570
- Reassigned Medicare billing, New York enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOREST HILLS, NY 11375
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 Jonathan Maksumov's NPI number?
The NPI number for Jonathan Maksumov is 1063877082. It was assigned to this individual provider in the NPPES registry on December 17, 2015.
Where is Jonathan Maksumov located?
Jonathan Maksumov practices at 6405 Yellowstone Blvd Apt 101, Forest Hills, NY 11375. The listed phone number is (718) 896-3376.
What is Jonathan Maksumov's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jonathan Maksumov enrolled in Medicare?
Yes. Jonathan Maksumov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jonathan Maksumov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Maksumov reassigns Medicare benefits to 3 organizations: Jamaica Hospital (Jamaica, NY), Josef Schenker MD PC (Middle Village, NY) and Mission Medical Care PC (Rockville Centre, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Maksumov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jonathan Maksumov was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jonathan Maksumov, FNP · NPI 1063877082
Family physician in Forest Hills, New York. Individual provider, active in the CMS NPPES registry since December 17, 2015.
## Identity
- **NPI:** 1063877082 (Entity type: Individual)
- **Enumerated:** December 17, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344516 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6405 YELLOWSTONE BLVD APT 101, Forest Hills, NY 11375-1534
- **Phone:** (718) 896-3376
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jamaica Hospital (NPI 1477505220, Jamaica, NY); Josef Schenker MD PC (NPI 1275936932, Middle Village, NY); Mission Medical Care PC (NPI 1750898565, Rockville Centre, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1063877082) · Data from the CMS NPPES public registry.