Ulyana Khaldarov, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

245939 Issued in NY

Practice address

19615 75TH Ave
Fresh Meadows, NY 11366-1813

Phone

(718) 969-4454

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

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.

• Garden Medical Consulting PLLC

  • Psychiatry Physician
  • Fresh Meadows, NY
  • NPI 1487444386
  Medicare reassignment NPD
• Long Island Consultation Center, Inc.

  • Clinical Social Worker
  • Elmhurst, NY
  • NPI 1295878577
  Medicare reassignment NPD
• Long Island Consultation Center

  • Counselor
  • Elmhurst, NY
  • NPI 1356016703
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1366580367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19615 75TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661813",
            "telephone_number": "718-969-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19615 75TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661813",
            "telephone_number": "718-969-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALDAROV",
        "first_name": "ULYANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "245939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kew Gardens Sep Inc.
• Joseph Ariel Khafi, DDS
• Daniel Khaimov, M.D.
• Yuriy Khaimov, P.T
• Tasadaq Khan Khakwani, D.D.S
• Ishtiaque A Khan
• Minakshi Khanna, PA
• Sarita Khatri, MD
• Mosammat Shahanara Khatun, RN
• Babita Khemai, M.A., CCC-SLP, TSHH

• Psychiatry Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.

Verify at the official NPI Registry.