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

Dr. Michael Nemytov

Individual provider Neurology Physician · NPI 1093167421

Dr. Michael Nemytov is a Neurology in West Islip, New York. Qualified in 1997, 29 years ago. Practices with Nitin Mariwalla MD PLLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1175 Montauk Hwy Ste 3
West Islip, NY 11795-4939
Phone: (631) 500-9400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 E 149th St, Bronx, NY 10451-5504 — (718) 579-5000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 308273 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093167421
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 11, 2016
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address1175 Montauk Hwy Ste 3, West Islip, NY 11795-4939

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Nitin Mariwalla Md Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare