Individual provider Active NPI

Ruben Kandov, M.D.

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1366404162
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
238221 Issued in NY
Practice address
705 86TH Street
Suite M4
Brooklyn, NY 11228-3220
Phone
(347) 245-7745
Fax
(347) 245-7746
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 238221 NY Primary

Addresses

Primary practice location

705 86TH Street
Suite M4
Brooklyn, NY 11228-3220

Mailing address

705 86TH Street
Suite M4
Brooklyn, NY 11228-3220
Phone (347) 245-7745

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
I20090804000251 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 7719030071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting160

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC CurrentSince Aug 15, 2009 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Physicians of University Hospital, PC CurrentSince Aug 15, 2009 Accepting new patients

Locations

705 86th St
Ste M4
Brooklyn, NY 11228
Phone (718) 238-6100

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

705 86th St
Brooklyn, NY 11228
Phone (718) 226-6988

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

300 Community Dr
Plandome, NY 11030

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

501 Seaview Ave
Ste 200
Staten Island, NY 10305
Phone (718) 226-5800

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: rkandov64385@northwell.direct-ci.com

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 3

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1366404162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 86TH STREET",
            "address_2": "SUITE M4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283220",
            "telephone_number": "347-245-7745",
            "fax_number": "347-245-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 86TH STREET",
            "address_2": "SUITE M4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283220",
            "telephone_number": "347-245-7745",
            "fax_number": "347-245-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDOV",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "238221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.