FAMILY HEALTH NURSE PRACTITIONER HOME VISITS PC
NPI 1083942544
Nurse Practitioner - Family in Queens Village, NY

Q: What is Family Health Nurse Practitioner Home Visits PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 21, 2009

9605 220TH ST, QUEENS VILLAGE, NY 11429(646) 201-8985 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Family Health Nurse Practitioner Home Visits Pc NPPES

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

FAMILY HEALTH NURSE PRACTITIONER HOME VISITS PC (NPI 1083942544) is a healthcare organization registered as a family in Queens Village, New York and active in the NPI registry since November 2009. The organization lists Alexander Kotov, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083942544

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameFAMILY HEALTH NURSE PRACTITIONER HOME VISITS PC

Location Address9605 220TH STQueens Village, NY 11429-1347

Mailing Address9605 220th StQueens Village, NY 11429-1347 · (646) 201-8985

Phone(646) 201-8985

Organization SubpartNo

Authorized OfficialAlexander KotovMedical Director · (646) 201-8985

Enumeration DateNovember 21, 2009

Last NPPES UpdateJanuary 12, 2016

✔ NPI 1083942544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F333427-1

9605 220TH ST, Queens Village, NY 11429

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Other Identifiers 2

OtherG100065207NY · Medicare Ptan

Medicaid02177773NY

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

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 Family Health Nurse Practitioner Home Visits PC's NPI number?

The NPI number for Family Health Nurse Practitioner Home Visits PC is 1083942544. It was assigned to this organization in the NPPES registry on November 21, 2009.

Where is Family Health Nurse Practitioner Home Visits PC located?

Family Health Nurse Practitioner Home Visits PC is located at 9605 220th St, Queens Village, NY 11429. The listed phone number is (646) 201-8985.

What is Family Health Nurse Practitioner Home Visits PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Family Health Nurse Practitioner Home Visits PC was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.