Active NPI
Margarita Khazina
- Social Worker
- Brooklyn, NY
National Provider Identifier
1255430682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R057214-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R057214-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Psychiatric Services,P.C. | Current | 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
- 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.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1629129721
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1386663904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.