TARKHANOV MEDICAL P.C. (NPI# 1508308743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508308743 |
| Entity Type | Organization |
| Organization Name | TARKHANOV MEDICAL P.C. |
| Practice Address |
15 Rome Ave Staten Island NY 10304-4317 |
| Practice Telephone | 7183516203 |
| Practice Fax Number | 9176520951 |
| Mailing Telephone | 9172739926 |
| Mailing Fax Number | 9176520951 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | DR. NIKOLAY TARKHANOV (OWNER) |
| Authorized Official Telephone | 7183516203 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
243184 | NY | Ambulatory Health Care Facilities |
| Street Address |
15 ROME AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952329880 | Margarita Tarkhanova | Social Worker | 15 Rome Ave, Staten Island, NY 10304-4317 | 2006-07-18 |
| 1487782629 | Nikolay Tarkhanov | Family Medicine | 15 Rome Ave, Staten Island, NY 10304-4317 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942682992 | Evelyn C Alogu | Clinic/Center | 10 Rockwell Ave, Apt 3b, Staten Island, NY 10305-1609 | 2015-06-26 |
| 1184855116 | Ruby Family Healthcare | Clinic/Center | 131 Rome Ave, Staten Island, NY 10304-3149 | 2009-08-07 |
| 1982077079 | Usha Thomas Physician PC | Clinic/Center | 175 Guyon Ave, Staten Island, NY 10306-3947 | 2015-11-11 |
| 1801271911 | Beacon Christian Community Health Center | Clinic/Center | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2015-07-30 |
| 1659637247 | Znahar Medical PC | Clinic/Center | 682 Forest Ave, Staten Island, NY 10310-2507 | 2012-04-08 |
| 1760777486 | Gerald Dimaso Mdpc | Clinic/Center | 68 Seguine Ave, Staten Island, NY 10309-3723 | 2011-06-10 |
| 1104142082 | Staten Island Medical Practice, P.C. | Clinic/Center | 5405 Hylan Blvd, Staten Island, NY 10312-5241 | 2010-04-16 |
| 1356675961 | Saint Vincent Catholic Medical Center | Clinic/Center | 206 Drum Rd, Staten Island, NY 10305-5079 | 2009-09-29 |
| 1194975524 | Primary Care Np In Family Health and Adult Health of New York Pllc | Clinic/Center | 130 Rose Ave, Staten Island, NY 10306-2241 | 2008-09-22 |
| 1376700435 | Judith A. Hendricks, M.d. P.C. | Clinic/Center | 1870 Richmond Rd, Staten Island, NY 10306-2553 | 2008-05-16 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.