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

Individual provider Physician Assistant · NPI 1023162666

Burkho Nisimova, PA is a Physician Assistant in Jamaica, New York. Qualified in 2006, 20 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

180-05 Hillside Ave
Jamaica, NY 11432-4727
Phone: (718) 526-6300
Fax: (718) 286-3863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4802 10th Ave, Brooklyn, NY 11219-2916 — (718) 283-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011578 (NY)

Record details

NPI number1023162666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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