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

Michael Iskhakov

Individual provider Nurse Practitioner · NPI 1568152106

Michael Iskhakov is a Nurse Practitioner in Bronx, New York. Qualified in 2022, 4 years ago. Practices with Prominis Medical Services PC, a 42-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1644 Eastchester Rd
Bronx, NY 10461-2316
Phone: (917) 445-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F351627-01 (NY)

Record details

NPI number1568152106
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address1017 147th St, Whitestone, NY 11357-1711

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Prominis Medical Services Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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