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

Jonathan Niknam, MD

Individual provider Anesthesiology Physician · NPI 1154828697

Jonathan Niknam, MD is an Anesthesiology in Flushing, New York. Qualified in 2018, 8 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5925 Kissena Blvd
Flushing, NY 11355-5565
Phone: (718) 280-9788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 315364 (NY)

Record details

NPI number1154828697
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024
Mailing address5925 Kissena Blvd, Flushing, NY 11355-5565

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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