Individual provider Active NPI

Margarita Khazina

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1255430682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R057214-1 Issued in NY
Practice address
1670-78 East 17TH Street
3Rd. FL.
Brooklyn, NY 11229
Phone
(718) 375-1200
Fax
(718) 382-3358
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R057214-1 NY Primary

Addresses

Primary practice location

1670-78 East 17TH Street
3Rd. FL.
Brooklyn, NY 11229

Mailing address

6501 Bay Pkwy
Apt. 5C
Brooklyn, NY 11204-3948
Phone (718) 871-5370

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000778 NY Practitioner - Clinical Social Worker 6305869694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Empire Psychiatric Services,P.C.Group PAC ID 8123919032, 3 clinicians

Practice addresses (Care Compare)

2502 86TH St
FL 3
Brooklyn, NY 11214-4440
Phone (718) 236-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R057214-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Psychiatric Services,P.C. CurrentSince Dec 20, 2016 Accepting new patients
Interborough Developmental and Consultation Center Past Accepting new patients

Locations

2502 86th St
Fl 3
Brooklyn, NY 11214
Phone (347) 391-4205

229 Parkville Ave
Ste 1
Brooklyn, NY 11230
Phone (718) 236-0700

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/interborough/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255430682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 BAY PKWY",
            "address_2": "APT. 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043948",
            "telephone_number": "718-871-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670-78 EAST 17TH STREET",
            "address_2": "3RD. FL.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-375-1200",
            "fax_number": "718-382-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAZINA",
        "first_name": "MARGARITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R057214-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.