Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boburjon Olimjonov

Individual provider Registered Nurse · NPI 1538878194

Boburjon Olimjonov is a Nurse Practitioner in Brooklyn, New York. Qualified in 2022, 4 years ago. Practices with Mission Medical Care PC, a 54-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3131 Kings Hwy Ste C6
Brooklyn, NY 11234-2643
Phone: (718) 434-0395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F350544 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 736595 (NY)

Record details

NPI number1538878194
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESSeptember 16, 2023
Certification dateSeptember 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mission Medical Care Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Brooklyn