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

Irina Niazova, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1174921688

Irina Niazova, AGNP is a Nurse Practitioner in Forest Hills, New York. Qualified in 2014, 12 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

9610 Metropolitan Ave
Forest Hills, NY 11375-6625
Phone: (718) 459-0400
Fax: (718) 670-6479
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 307200 (NY)

Record details

NPI number1174921688
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedDecember 16, 2014
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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