Khaimov Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KHAIMOV PEDIATRICS PLLC

Practice address

64-05 Yellowstone Blvd
Cf104
Forest Hills, NY 11375-5656

Phone

(718) 606-2700

Fax

(718) 606-2715

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rafik Khaimov, MDNPI 1356432652

Title

President

Phone

(917) 776-3092

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rafik Khaimov Medical PC Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafik Khaimov, MD

  • Pediatrics Physician
  • Rego Park, NY
  • NPI 1356432652

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1447508064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71-26 YELLOWSTONE BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755656",
            "telephone_number": "718-606-2700",
            "fax_number": "718-606-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-05 YELLOWSTONE BLVD",
            "address_2": "CF104",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755656",
            "telephone_number": "718-606-2700",
            "fax_number": "718-606-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAIMOV PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-776-3092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02568129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rafik Khaimov Medical PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Charles Kesselman, DC
• Benjamin David Kessler, MD
• Samantha Katherine Kesten, WHNP-BC
• Stacy Kesten, MD
• Keypoint, Inc
• Aleksandr Khaimov, D.O
• Artur Khaimov, PHARM D.
• Gregory Khaimov
• Iosif Joseph Khaimov
• Jessica Khaimov

• Pediatrics Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.