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

Jonathan Maksumov, FNP

Individual provider Registered Nurse · NPI 1063877082

Jonathan Maksumov, FNP is a Nurse Practitioner in Forest Hills, New York. Qualified in 2019, 7 years ago. Practices with Josef Schenker MD PC, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6405 Yellowstone Blvd Apt 101
Forest Hills, NY 11375-1534
Phone: (718) 896-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9932 65th Ave, Rego Park, NY 11374-3653 — (917) 497-2461

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344516 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 698931 (NY)

Record details

NPI number1063877082
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 17, 2015
Last updated in NPPESJune 19, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Josef Schenker Md Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Forest Hills