Individual provider Active NPI

Sofya Kilshtok, M.D.

  • Obstetrics & Gynecology Physician
  • Jamaica, NY
National Provider Identifier
1033402219
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
268123-1 Issued in NY
Practice address
8900 Van Wyck Expy
Suite 6a
Jamaica, NY 11418-2832
Phone
(718) 206-6808
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 268123-1 NY Primary

Addresses

Primary practice location

8900 Van Wyck Expy
Suite 6a
Jamaica, NY 11418-2832

Mailing address

35 Shore Acres Rd
Staten Island, NY 10305-3911
Phone (718) 351-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131216000590 NY Practitioner - Obstetrics/Gynecology 6305073537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians

Practice addresses (Care Compare)

120 46 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 006-6708

89 -40
Jamaica, NY 11418-2832
Phone (718) 206-5200

8900 Van Wyck Expressway
Jamaica, NY 11418-2832

8900 Van Wyck Expy
Jamaica, NY 11418-2832

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
268123-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Obstetrics & Gynecology CurrentSince Sep 16, 2013 Accepting new patients
Jamaica Hospital Past Accepting new patients
Jamaica Hospital Past Accepting new patients

Locations

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: skilshtok26821@direct.medisys.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1033402219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SHORE ACRES RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053911",
            "telephone_number": "718-351-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "address_2": "SUITE 6A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "718-206-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILSHTOK",
        "first_name": "SOFYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "268123-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.