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ADULT HEALTH NP NYC PC
NPI 1073250957
Nurse Practitioner - Adult Health in Elmhurst, NY

Active since May 12, 2022CLIA 33D2321747 · Waiver
4047 95TH ST APT B, ELMHURST, NY 11373(646) 559-6699 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Oct 28, 2022, May 12, 2022 (3 updates tracked since 2022).

About Adult Health Np Nyc Pc NPPES

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

ADULT HEALTH NP NYC PC (NPI 1073250957) is a healthcare organization registered as an adult health in Elmhurst, New York and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Moisey Simkhayev, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073250957
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameADULT HEALTH NP NYC PC
Location Address4047 95TH ST APT BElmhurst, NY 11373-1715
Mailing Address9930 64th RdRego Park, NY 11374-2646
Phone(646) 559-6699
Organization SubpartNo
Authorized OfficialMoisey SimkhayevCeo · (646) 559-6699
Enumeration DateMay 12, 2022
Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1073250957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
4047 95TH ST APT B, Elmhurst, NY 11373
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2321747

Adult Health Np Nyc PC · Elmhurst, NY
Active · expires Apr 8, 2027
CLIA Number33D2321747
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorMoisey Simkhayev
Laboratory Phone(646) 559-6699
Laboratory LocationAdult Health Np Nyc PC40-47 95th St Suite B, Elmhurst, NY 11373
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Adult Health Np Nyc PC carries, from the Medicare DMEPOS supplier directory.

Adult Health Np Nyc PC

DMEPOS supplier · Elmhurst, NY
✔

Accepts Medicare assignment

Adult Health Np Nyc PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)26717380
Medicare Participant SinceJune 24, 2023
Supplier Location4047 95th St Apt BElmhurst, NY 11373
Phone(646) 559-6699
Provider TypeNurse Practitioner

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FENDIA OSIRUS
Registered Nurse
4047 95TH ST APT B
ELMHURST, NY 11373
Queens County (347) 206-5182
MS NP ADULT HEALTH PLLC
Nurse Practitioner (Adult Health)
4047 95TH ST APT B
ELMHURST, NY 11373
Queens County (646) 559-6699
JOSELING HODGE
Nurse Practitioner (Family)
4047 95TH ST APT B
ELMHURST, NY 11373
Queens County (646) 559-6699
GULKAROV FAMILY HEALTH NP PLLC
Nurse Practitioner (Family)
4047 95TH ST APT B
ELMHURST, NY 11373
Queens County (646) 559-6699
MOISEY SIMKHAYEV NP
Nurse Practitioner (Adult Health)
4047 95TH ST APT B
ELMHURST, NY 11373
Queens County (646) 559-6699

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 Adult Health Np Nyc PC's NPI number?

The NPI number for Adult Health Np Nyc PC is 1073250957. It was assigned to this organization in the NPPES registry on May 12, 2022.

Where is Adult Health Np Nyc PC located?

Adult Health Np Nyc PC is located at 4047 95th St Apt B, Elmhurst, NY 11373. The listed phone number is (646) 559-6699.

What is Adult Health Np Nyc PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Adult Health Np Nyc PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Adult Health Np Nyc PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Adult Health Np Nyc PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2321747) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adult Health Np Nyc PC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.