Active NPI
Uriel Mirzakandov, M.D.
- Pediatrics Physician
- Fresh Meadows, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 260047
- Practice address
- 6927 164TH St
Fresh Meadows, NY 11365-3195 - Phone
- (718) 261-3222
- NPI assigned
- Dec 20, 2009
- Last updated
- Nov 19, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 260047 | NY | Primary |
Addresses
Primary practice location
6927 164TH St
Fresh Meadows, NY 11365-3195
Mailing address
14433 69TH Rd
Flushing, NY 11367-1701
Phone (212) 444-8933
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Professional Medical Services, PC | Pediatrics | Current | Accepting new patients |
| Wyckoff Heights Medical Center | Current | Accepting new patients | |
| Dr Uriel Medical PLLC | Pediatrics | Current | Accepting new patients |
Locations
1411 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 907-4301
1419 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 455-4909
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
6927 164th St
#A
Fresh Meadows, NY 11365
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- uriel.mirzakandov.1@18171.direct.athenahealth.com
- urielmirzakandov@whmc.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Flushing, NY
- NPI 1861997629
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
Pediatrics
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1316276447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14433 69TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671701",
"telephone_number": "212-444-8933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6927 164TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113653195",
"telephone_number": "718-261-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZAKANDOV",
"first_name": "URIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-20",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "260047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.