NPIMap

Individual provider Active NPI

Polina Khanina, MD

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1285679498
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221604 Issued in NY
Practice address
529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone
(718) 327-7307
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221604 NY Primary

Addresses

Primary practice location

529 Beach 20TH St
Far Rockaway, NY 11691-3615

Mailing address

529 Beach 20TH St
Far Rockaway, NY 11691-3645
Phone (516) 542-6880

Other practice location 1

9745 Queens Blvd
Rego Park, NY 11374-2101
Phone (718) 459-6500

Other practice location 2

2241 New Haven Ave
Far Rockaway, NY 11691-2538
Phone (718) 945-5500

Other identifiers 1

IdentifierTypeStateIssuer
02201196MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000729 NY Practitioner - Internal Medicine 0143280446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multiviz Medical Services PCGroup PAC ID 1557274735, 26 clinicians

Practice addresses (Care Compare)

529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone (718) 327-7307

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414
  • M J H S Hospice and Palliative Care, Inc Hospice, New York, NY, CCN 331529
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395
  • The Five Towns Premier Rehabilitation & Nursing Ce Nursing home, Woodmere, NY, CCN 335718
  • Park Avenue Extended Care Facility Nursing home, Long Beach, NY, CCN 335819
  • Haven Manor Health Care Center, LLC Nursing home, Far Rockaway, NY, CCN 335676
  • Rockville Skilled Nursing & Rehabilitation Center, Nursing home, Rockville Center, NY, CCN 335747

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221604NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Feb 16, 2025 Accepting new patients
Multiviz Medical Services PC Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Rockville Skilled Nursing & Rehabilitation Center, LLC Past Accepting new patients
New Surfside Nursing Home LLC PastSince Aug 1, 2023 Accepting new patients
Woodmere Rehabilitation and Health Care Center, Inc. Past Accepting new patients
Rockaway HD LLC PastSince Jul 6, 2006 Accepting new patients
Haven Manor Health Care Center LLC Past Accepting new patients
South Beach Medical PC Internal Medicine Past Accepting new patients
Mlap Acquisition III LLC Past Accepting new patients
Abiola Familusi Internal Medicine Past Accepting new patients
Mlap Acquisition I, LLC Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients
St John'S Medical Services PC Internal Medicine Past Accepting new patients
Park Avenue Operating Company LLC Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

215 Rockaway Ave
Brooklyn, NY 11233
Phone (718) 290-8057

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

5353 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-1800

115 S Broadway
Yonkers, NY 10701
Phone (914) 295-7200

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Surfside Nursing Home LLCFar Rockaway, NY, CCN 335165 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2023
Aug 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 10

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1285679498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913645",
            "telephone_number": "516-542-6880",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913615",
            "telephone_number": "718-327-7307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9745 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113742101",
            "country_code": "US",
            "telephone_number": "718-459-6500",
            "fax_number": "718-830-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2241 New Haven Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116912538",
            "country_code": "US",
            "telephone_number": "718-945-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANINA",
        "first_name": "POLINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02201196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.