Stanislav Kaminyar, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

262826 Issued in NY

Practice address

11506 Beach Channel Dr
Rockaway Park, NY 11694-2206

Phone

(718) 474-7744

Fax

(718) 474-7755

NPI assigned

Aug 5, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Medical Care PLLCGroup PAC ID 5698934446, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

67.28 of 100Reported as individual

Quality

36.6

Improvement activities

40

Cost

75.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Peninsula Medical Care PLLC

  • Urgent Care Clinic/Center
  • Rockaway Park, NY
  • NPI 1851663926

  NY

  Medicare reassignment Care Compare group NPD
• Lindenwood Medical PC

  • Adult Medicine Physician
  • Staten Island, NY
  • NPI 1811220882

  Family Medicine, NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1235360470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24023 68TH AVE",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621928",
            "telephone_number": "818-388-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11506 BEACH CHANNEL DR",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942206",
            "telephone_number": "718-474-7744",
            "fax_number": "718-474-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Ralph Pl",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103044401",
            "country_code": "US",
            "telephone_number": "718-954-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINYAR",
        "first_name": "STANISLAV",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "262826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "262826",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith Psychologist PC
• John J Schilling DPM PC
• Carmelite Marie Joseph-Jules, RPH
• Lauren Judge
• Junear H. Rajwant Occupational Therapist, P.C.
• Vinod Kapur, DPT
• Rubaiya Karin, BCBA
• Marc R Kassman, RPH
• Katelin Strebel LMSW PLLC
• Gursimran Kaur

• Family Medicine Physician in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.