- Practice location
- 180-05 Hillside Ave, Jamaica, NY 11432-4727
- Phone
- 718-526-6300
- Fax
- 718-286-3863
- Last updated
- September 30, 2025
Burkho Nisimova is a Physician Assistant based in Jamaica, NY. Burkho Nisimova practices in Jamaica, NY and has the professional credentials of PA. The NPI Number for Burkho Nisimova is 1023162666 and holds a License No. 011578 (NY). The current practice location address for Burkho Nisimova is 180-05 Hillside Ave, Jamaica, NY 11432-4727 and can be reached out via phone at 718-526-6300 and via fax at 718-286-3863.
Provider Profile Details
- NPI Number
- 1023162666
- Provider Name
- Burkho Nisimova
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 180-05 Hillside Ave, Jamaica, NY 11432-4727
- Phone Number
- 718-526-6300
- Fax Number
- 718-286-3863
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 22, 2007
- Last Update Date
- September 30, 2025
- Certification Date
- September 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180-05 Hillside Ave
Jamaica, NY 11432-4727 - City
- Jamaica
- State
- New York
- Zip
- 11432-4727
- Phone Number
- 718-526-6300
- Fax Number
- 718-286-3863
Provider Business Mailing Address Details
- Address
- 55 Water St Fl 2
New York, NY 10041-0010 - City
- New York
- State
- NY
- Zip
- 10041-0010
- Phone Number
- 646-680-2888
- Fax Number
- 516-542-5556
License Information
- License Number
- 011578
- License State
- NY
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Jamaica, NY
View all Physician Assistants in Jamaica →- Ana Lucia Alvites, PA-CPhysician Assistant · NPI 1023361623
- Candece C Reid, PAPhysician Assistant · NPI 1548591860
- Cheryl A Madden, PAPhysician Assistant · NPI 1922186584
- Diana M ColganPhysician Assistant · NPI 1912626441
- Heeraj KumarPhysician Assistant · NPI 1720936156
- Jane P Schon, PAPhysician Assistant · NPI 1134377302
Frequently Asked Questions
What is the NPI number of Burkho Nisimova, PA?
The NPI number of Burkho Nisimova, PA is 1023162666. It was assigned on January 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Burkho Nisimova, PA?
Burkho Nisimova, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 011578.
Where does Burkho Nisimova, PA practice?
The practice location is 180-05 Hillside Ave, Jamaica, NY 11432-4727. The office can be reached at 718-526-6300 (phone) or 718-286-3863 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023162666 directly on the NPPES registry website.