Active NPI
Konstantin Nikiforov, MD
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 223494
- Practice address
- 20 E 46TH St RM 1200
New York, NY 10017-9246 - Phone
- (646) 850-2290
- Fax
- (646) 850-2295
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 223494 | NY | Primary |
Addresses
Primary practice location
20 E 46TH St RM 1200
New York, NY 10017-9246
Mailing address
65 Oceana Dr E
Apt. 4B
Brooklyn, NY 11235-6686
Phone (718) 577-7783
Other practice location 1
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-4408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02258717 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28 W 44TH St
Suite 714
New York, NY 10036-7406
Phone (646) 383-7575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223494 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| Dr. Iospa Psychiatry Consulting, P.C. | Psychiatry | Current | Accepting new patients |
| Beth Israel Medical Center | Past | Accepting new patients | |
| University Group Medical Associates, P.C | Psychiatry | Past | Accepting new patients |
| Beth Israel Medical Center Psychiatry & Behavioral Science | Past | Accepting new patients | |
| Galynker Family Center for Bipolar Disorder | Psychiatry | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
420 E 76th St
New York, NY 10021
Phone (212) 434-5300
1090 Amsterdam Ave
Fl 16
New York, NY 10025
Phone (212) 523-5089
1060 Amsterdam Ave
New York, NY 10025
Phone (212) 316-7700
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900
Organizations & group practices 9
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1154597219
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1538598610
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1902224520
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1275624199
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1477582476
-
- Psychiatry Physician
- New York, NY
- NPI 1073460663
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581206400000",
"number": "1407967482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 OCEANA DR E",
"address_2": "APT. 4B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356686",
"telephone_number": "718-577-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E 46TH ST RM 1200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100179246",
"telephone_number": "646-850-2290",
"fax_number": "646-850-2295"
}
],
"practiceLocations": [
{
"address_1": "2601 Ocean Pkwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112357745",
"country_code": "US",
"telephone_number": "718-616-4408",
"fax_number": "718-616-4105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIKIFOROV",
"first_name": "KONSTANTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2020-02-09",
"certification_date": "2020-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "223494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02258717",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.