Individual provider Active NPI

Eduard Kandov, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1043998735
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405175 Issued in NY
Practice address
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone
(718) 206-7099
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405175 NY Primary

Addresses

Primary practice location

8900 Van Wyck Expy
Jamaica, NY 11418-2832

Mailing address

7503 172ND St
Fresh Meadows, NY 11366-1422

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912003190 NY Practitioner - Nurse Practitioner 5092179879 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care for You PCGroup PAC ID 6800207879, 12 clinicians
Empire Medical and Rehabilitation, PCGroup PAC ID 8527114693, 5 clinicians
Feel Good Medical PCGroup PAC ID 6800182981, 9 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

Uniondale, NY 11556
Phone (718) 255-7368

2965 Ocean Pkwy
FL 6
Brooklyn, NY 11235-8014
Phone (718) 750-2001

3039 Ocean Pkwy
Suite 2a
Brooklyn, NY 11235-8378
Phone (718) 975-4466

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6601

Hospital & facility affiliations

  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
405175NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Medical Care for You PC CurrentSince Sep 1, 2024 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2023 Accepting new patients
Empire Medical & Rehabilitation, PC CurrentSince Sep 1, 2025 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2023 Accepting new patients
Feel Good Medical PC CurrentSince Dec 10, 2025 Accepting new patients
Jamaica Hospital Past Accepting new patients
Excel Medical PC PastSince Oct 1, 2018 Accepting new patients

Locations

2107 Ditmas Ave
Brooklyn, NY 11226
Phone (718) 207-4348

3039 Ocean Pkwy
Ste 2A
Brooklyn, NY 11235
Phone (718) 975-4466

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

6711 164th St
Fresh Meadows, NY 11365
Phone (718) 762-4500

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

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

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

626 Rxr Plz
Uniondale, NY 11556
Phone (516) 280-9030

Networks

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

Interoperability endpoints

  • Direct secure messaging: ekandov46046@direct.medisys.org

Organizations & group practices 9

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1043998735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 172ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "718-206-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDOV",
        "first_name": "EDUARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.