Viktoriya Khomenko, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

035718 Issued in NY

Practice address

520 Bloomingdale Rd
Staten Island, NY 10309-2061

Phone

(718) 605-1300

NPI assigned

Nov 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avantgarde Rehabilitation Limited Liability CompanyGroup PAC ID 0547491284, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avantgarde Rehabilitation Limited Liability Company

  • Physical Therapist
  • Staten Island, NY
  • NPI 1881937423

  NJ

  Medicare reassignment Care Compare group Authorized official
• Staten Island Center for Alternative Therapies, LLP

  • Physical Therapist
  • Staten Island, NY
  • NPI 1710308846
  NPD

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1104160464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BUR CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261878",
            "telephone_number": "732-677-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BLOOMINGDALE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092061",
            "telephone_number": "718-605-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOMENKO",
        "first_name": "VIKTORIYA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "035718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya Ivanovna Khilko, MD
• Shehzad Khizar, MD
• Nadiya Khmil
• Boris Khodorkovsky, MD
• Aleksey Khomenko, LMT
• Jan A Khorsandi, DMD PC
• Manootcher Khorsandi, MD
• Yana Khotsyna, MD
• Michel El Khoury, MD
• Sviatlana Khryshchanovich, FNP

• Physical Medicine & Rehabilitation Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.