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JONATHAN MAKSUMOV FNP
NPI 1063877082
Nurse Practitioner - Family in Forest Hills, NY

Active since December 17, 2015PECOS EnrolledAccepts Medicare Assignment
6405 YELLOWSTONE BLVD APT 101, FOREST HILLS, NY 11375(718) 896-3376 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2019, Dec 17, 2015 (2 updates tracked since 2015).

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

NPI1063877082
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJONATHAN MAKSUMOVCredential: FNP
Location Address6405 YELLOWSTONE BLVD APT 101Forest Hills, NY 11375-1534
Mailing Address9932 65th AveRego Park, NY 11374-3653 · (917) 497-2461
Phone(718) 896-3376
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 17, 2015
Last NPPES UpdateJune 19, 20192 updates tracked since enumeration
✔ NPI 1063877082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 344516
Also ListedRegistered NurseTaxonomy 163W00000X · License 698931 (NY)
6405 YELLOWSTONE BLVD APT 101, Forest Hills, NY 11375
Open in Google Maps ↗

Secondary Practice Location 1

Location 19932 65th AveRego Park, NY 11374-3653 · Phone (917) 497-2461

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID446688147
PECOS Enrollment IDI20200311001741
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 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.

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
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. BORIS I PALTIELOV P.T.
Physical Therapist
6405 YELLOWSTONE BLVD APT 101
FOREST HILLS, NY 11375
Queens County (718) 606-1911
ALEKSEY BABAKHANOV FNP
Nurse Practitioner (Family)
6405 YELLOWSTONE BLVD APT 101
FOREST HILLS, NY 11375
Queens County (718) 896-3376
DANIEL YAKUBOV FNP
Nurse Practitioner (Family)
6405 YELLOWSTONE BLVD APT 101
FOREST HILLS, NY 11375
Queens County (718) 305-1056
HEALTH QUEST PHYSICAL THERAPY, P.C.
Specialist
6405 YELLOWSTONE BLVD APT 101
FOREST HILLS, NY 11375
Queens County (718) 606-1911

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.

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.