Maksim Nisenboym, PA
NPI 1063785863 · Physician Assistant · Briarwood, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maksim Nisenboym, PA is a Physician Assistant provider in Briarwood, NY (NPI 1063785863).
Provider details
- NPI number
- 1063785863
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 015471 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-10
- Last updated
- 2012-02-10
Frequently asked questions
- What is Maksim Nisenboym's NPI number?
- Maksim Nisenboym's National Provider Identifier (NPI) is 1063785863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maksim Nisenboym's specialty?
- Maksim Nisenboym is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Maksim Nisenboym located?
- Maksim Nisenboym's practice location on file with NPPES is 14755 Hoover Ave, Briarwood, NY 11435-2139.
- What is Maksim Nisenboym's phone number?
- The practice phone number listed in the NPPES registry for Maksim Nisenboym is (718) 523-5674.
- Does Maksim Nisenboym accept Medicare?
- Maksim Nisenboym is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maksim Nisenboym's NPI active?
- Yes — Maksim Nisenboym's NPI (1063785863) is active in the NPPES registry as of the last update on 2012-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.