Gavril Malakov, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

091607 Issued in NY

Practice address

8811 Jamaica Ave
Woodhaven, NY 11421-2039

Phone

(718) 846-2300

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Yellowstone Physical Therapy PC

  • Specialist
  • Woodhaven, NY
  • NPI 1386754695
  Medicare reassignment NPD Authorized official
• Steinway Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Astoria, NY
  • NPI 1093316242
  Medicare reassignment
• New York Psychiatric Services, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1538371018
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1487771085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212039",
            "telephone_number": "718-846-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212039",
            "telephone_number": "718-846-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAKOV",
        "first_name": "GAVRIL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "091607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LV RX Inc
• M & a Pharmacy Corp (Medex Pharmacy)
• January Magno, MS OTR/L
• Mohan Vasant Mahadkar, M.D.
• Elsie M Maisonet
• Joseph Malakov
• Clemens A Mandel, M.D.
• Cynthia Ann Marciano
• Giovanni Marciano, DO
• Joy Margulies, R.N.

• Specialist in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.