Moshe Shimunov, FNP-BC
Nurse Practitioner, Family in Forest Hills, NY. Individual provider (NPI-1).
NPI number1649045352
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1649045352
- Entity type
- Individual (NPI-1)
- Name
- Mr. Moshe Shimunov
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2023
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 352152 | NY | Yes |
Practice location
10524 63rd Dr Apt 2pForest Hills, NY 11375-1649
Phone 347-283-6191
Mailing address
10524 63rd Dr Apt 2pForest Hills, NY 11375-1649
Phone 347-283-6191
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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