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

Miriam Samekhova

Individual provider Family Nurse Practitioner · NPI 1659144186

Miriam Samekhova is a Nurse Practitioner in Kew Gardens, New York. Qualified in 2023, 3 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

11956 Metropolitan Ave
Kew Gardens, NY 11415-2606
Phone: (347) 730-8201
Fax: (929) 335-2526
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 352774 (NY)

Record details

NPI number1659144186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2023
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Kew Gardens