Individual provider Active NPI

Nikol Mladkova, M.D., M.P.H., PH.D.

  • Radiation Oncology Physician
  • Jamaica, NY
National Provider Identifier
1427599794
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
315423 Issued in NY
Practice address
8268 164TH St # R
Jamaica, NY 11432-1104
Phone
(718) 883-3535
Fax
(718) 883-6282
NPI assigned
Mar 20, 2017
Last updated
Apr 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Radiation Oncology Physician 2085R0001X 315423 NY Primary

Addresses

Primary practice location

8268 164TH St # R
Jamaica, NY 11432-1104

Mailing address

234 E 149TH St
Bronx, NY 10451-5504

Other practice location 1

234 E 149th St
Bronx, NY 10451-5504
Phone (718) 579-5000

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
I20220728003022 NY Practitioner - Radiation OncologyPractitioner - Diagnostic Radiology 6002163847 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Ohio State University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 30, 2024 Accepting new patients
Albany Medical College CurrentSince Oct 25, 2024 Accepting new patients
Albany Medical College CurrentSince Oct 25, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Radiation Oncology CurrentSince May 30, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 1, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 1, 2024 Accepting new patients
Westchester Medical Center General Acute Care Hospital Past Accepting new patients
New York City Health and Hospitals Corporation General Acute Care Hospital Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

8268 164th St
#R
Jamaica, NY 11432
Phone (718) 883-3535

300 Community Dr
Manhasset, NY 11030

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
  • Direct secure messaging: nikolmladkova@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: nmladkova3790986@nychhc.direct-ci.com
  • Direct secure messaging: nmladkovasuchy93997@albanymed.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1427599794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 164TH ST # R",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321104",
            "telephone_number": "718-883-3535",
            "fax_number": "718-883-6282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "718-579-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MLADKOVA",
        "first_name": "NIKOL",
        "credential": "M.D., M.P.H., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "315423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.