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

Mrs. Nino Miminoshvili

Individual provider Family Nurse Practitioner · NPI 1568213510

Mrs. Nino Miminoshvili is a Nurse Practitioner in Warren, New Jersey. Qualified in 2022, 4 years ago. Practices with South Brooklyn Medical Care PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2024

Practice location Address checks out

132 Reinman Rd
Warren, NJ 07059-5740
Phone: (347) 524-3182
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 F351425-01 (NY)

Record details

NPI number1568213510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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 South Brooklyn Medical Care Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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