| Boburjon Olimjonov, | |
|
3131 Kings Hwy Ste C6, Brooklyn, NY 11234-2643 | |
| (718) 434-0395 | |
| Not Available |
| Full Name | Boburjon Olimjonov |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3131 Kings Hwy Ste C6, Brooklyn, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538878194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 736595 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F350544 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rejuveinate, Llc | 2264812478 | 9 |
| Mission Medical Care Pc | 2365705696 | 28 |
| Mission Medical Care Pc | 2365705696 | 28 |
| Entity Name | Rejuveinate, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396347712 PECOS PAC ID: 2264812478 Enrollment ID: O20220706002013 |
| Entity Name | Mission Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750898565 PECOS PAC ID: 2365705696 Enrollment ID: O20250317000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Boburjon Olimjonov, 3131 Kings Hwy Ste C6, Brooklyn, NY 11234-2643 Ph: (646) 384-2634 | Boburjon Olimjonov, 3131 Kings Hwy Ste C6, Brooklyn, NY 11234-2643 Ph: (718) 434-0395 |
Lucinda T Langenkamp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 94 Manhattan Ave, Brooklyn, NY 11206 Phone: 718-388-0390 | |
Samantha Kilkenny, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 156 Henry St, Brooklyn, NY 11201 Phone: 718-237-5001 | |
Vivien Li, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6300 8th Ave, Brooklyn, NY 11220 Phone: 718-765-2700 | |
Ms. Izehi Agenmonmen Eromosele, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 539 Vandalia Ave, Brooklyn, NY 11239 Phone: 718-642-3213 | |
Hui-min Feng, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6010 Bay Pkwy Ste 901, Brooklyn, NY 11204 Phone: 718-748-0863 | |
Miss Rose Natania Francois, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 455 Sutter Ave, Brooklyn, NY 11212 Phone: 718-765-6550 Fax: 347-620-9739 | |
Viletha Small-clarke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 441 E 53rd St, Brooklyn, NY 11203 Phone: 347-982-3034 |