Individual provider Active NPI

Nodar Kozhin, MD

  • Obstetrics & Gynecology Physician
  • Forest Hills, NY
National Provider Identifier
1346325230
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
139141 Issued in NY
Practice address
6960 108TH St
Suite 101
Forest Hills, NY 11375-4323
Phone
(718) 275-8200
Fax
(718) 896-3166
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 139141 NY Primary

Addresses

Primary practice location

6960 108TH St
Suite 101
Forest Hills, NY 11375-4323

Mailing address

6960 108TH St
Suite 101
Forest Hills, NY 11375-4323
Phone (718) 275-8200

Other identifiers 1

IdentifierTypeStateIssuer
1825167MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000605 NY Practitioner - Obstetrics/Gynecology 9739178716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6960 108TH St
Suite 101
Flushing, NY 11375-4303
Phone (718) 275-8200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boter & Kozhin Obstetrical & Gynecological PC Obstetrics & Gynecology CurrentSince May 9, 1995 Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients
Kozhin and Levy MD PC Obstetrics & Gynecology Past Accepting new patients

Locations

6960 108th St
Ste 101
Forest Hills, NY 11375
Phone (718) 275-8200

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1346325230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 108TH ST",
            "address_2": "SUITE 101",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754323",
            "telephone_number": "718-275-8200",
            "fax_number": "718-896-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 108TH ST",
            "address_2": "SUITE 101",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754323",
            "telephone_number": "718-275-8200",
            "fax_number": "718-896-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZHIN",
        "first_name": "NODAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "139141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1825167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.