Garden Medical Consulting PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GARDEN MEDICAL CONSULTING PLLC

Practice address

19615 75TH Ave
Fresh Meadows, NY 11366-1737

Phone

(718) 969-4454

Fax

(718) 413-2167

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Daniel Khaldarov

Title

Secretary

Phone

(917) 943-9454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 6

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

• Rebecca Ganchrow

  • Physician Assistant
  • Woodmere, NY
  • NPI 1376392209
  Medicare reassignment Care Compare group NPD
• Vitaliy Khaldarov, M.D.

  • Psychiatry Physician
  • Flushing, NY
  • NPI 1609851195
  Medicare reassignment Care Compare group NPD
• Ulyana Khaldarov, MD

  • Psychiatry Physician
  • Fresh Meadows, NY
  • NPI 1366580367
  Medicare reassignment NPD
• Paige Noel Deprisco, PA-C

  • Physician Assistant
  • Mineola, NY
  • NPI 1801548078
  Medicare reassignment
• Carmel Sarreal Paredes, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New York, NY
  • NPI 1720068091
  Medicare reassignment
• Betty Pierre-Buly, REGISTERED NURSE

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresh Meadows, NY
  • NPI 1982917266
  NPD

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1487444386",
    "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": "113661737",
            "telephone_number": "718-969-4454",
            "fax_number": "718-413-2167"
        },
        {
            "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": "113661737",
            "telephone_number": "718-969-4454",
            "fax_number": "718-413-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN MEDICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "KHALDAROV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "917-943-9454"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Fuzailov
• Natella Fuzaylova, PA
• Feliciano Gahoy, RN
• Vadim Feliksovich Galperin
• Lauren Michele Ganca
• Bruce A Garrison, MD
• Julius Winston Garvey, M.D.
• Sherly Gaston-Leonard
• Elina Gavrielova, NP
• Diana Gavrilova, FNP

• 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 May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.