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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BURKHO NISIMOVA, PA

Active Sole Proprietor

BURKHO NISIMOVA, PA is a Physician Assistant healthcare provider located in JAMAICA, New York. NPI 1023162666 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JAMAICA, NY

Registration Details

NPI Number
1023162666
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2007 (19.582633036043 yrs)
Last Updated
Sep 30, 2025
License
011578 (NY)
Sole Proprietor
Yes

Practice Information

Address
180-05 HILLSIDE AVE
JAMAICA, NY, 114324727
Browse NY providers · Browse ZIP 11432
Phone
7185266300
Fax
7182863863
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in JAMAICA, NY

Name Credential NPI
GOPAL SUKHRAJ PA 1134170731
MR. LINCOLN OLALEKAN ADEYEMI PA 1649378399
MRS. MICHELLE E ANGEL PA 1902904659
MR. SEAN DEVON BURNETT PA 1891893558
MS. FENGYEE CHEN PA 1922106616
MR. ELBERT MICHAEL DAVID PA 1912005612
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.