Tamar Iskhakov
Nurse Practitioner, Family in Bayside, NY. Individual provider (NPI-1).
NPI number1679260657
StatusActive
Last updated in NPPESOct 15, 2025
Details
- NPI
- 1679260657
- Entity type
- Individual (NPI-1)
- Name
- Tamar Iskhakov
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2023
- Certification date
- Oct 15, 2025
- Last updated
- Oct 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 | F351191 | NY | Yes |
Practice location
4232 Francis Lewis BlvdBayside, NY 11361-2561
Phone 718-717-0003
Mailing address
6750 180th StFresh Meadows, NY 11365-3516
Phone 347-421-6067
Is something wrong?
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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