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MIRENA KHAIMOVA
NPI 1447877592
Nurse Practitioner - Family in Staten Island, NY

Active since July 05, 2020
302 GETZ AVE, STATEN ISLAND, NY 10312(917) 833-7391 Get Directions Write a Review

NPPES record last updated: July 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mirena Khaimova NPPES

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

MIRENA KHAIMOVA (NPI 1447877592) is an individual family provider in Staten Island, New York, licensed in New York (F342807-1) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1447877592
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRENA KHAIMOVA
Location Address302 GETZ AVEStaten Island, NY 10312-2433
Mailing Address302 Getz AveStaten Island, NY 10312-2433 · (917) 833-7391
Phone(917) 833-7391
Sole ProprietorYes
Enumeration DateJuly 5, 2020
NPPES CertifiedJuly 5, 2020
✔ NPI 1447877592 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 · F342807-1
302 GETZ AVE, Staten Island, NY 10312
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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 MULTIPLE 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 Mirena Khaimova's NPI number?

The NPI number for Mirena Khaimova is 1447877592. It was assigned to this individual provider in the NPPES registry on July 5, 2020.

Where is Mirena Khaimova located?

Mirena Khaimova practices at 302 Getz Ave, Staten Island, NY 10312. The listed phone number is (917) 833-7391.

What is Mirena Khaimova'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 Mirena Khaimova was last updated on July 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.