MEDICARE: ASHLEY NASIMI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0200X	Pediatric Registered Nurse	764990-1	NY

General Provider Information

NPI Number	:	1679413355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY NASIMI

Provider Business Mailing Address
First Line	:	1 FELMS CT
Second Line	:
City	:	BETHPAGE
State	:	NY
Zip	:	11714-2303
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 FRANKLIN AVE STE 100
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-2910
Country	:	US
Telephone Number	:	516-474-5547
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “ ASHLEY NASIMI ” Practice Location

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