Tarkhanov Medical P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

243184 Issued in NY

Legal business name

TARKHANOV MEDICAL P.C.

Practice address

15 Rome Ave
Staten Island, NY 10304-4317

Phone

(718) 351-6203

Fax

(917) 652-0951

NPI assigned

Nov 4, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nikolay Tarkhanov, M.D.NPI 1487782629

Title

Owner

Phone

(718) 351-6203

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikolay Tarkhanov, M.D.

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1487782629
  Authorized official Same address or phone
• Wojciech Skrzypiec, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Staten Island, NY
  • NPI 1861476715
  NPD (past)

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1508308743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROME AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044317",
            "telephone_number": "917-273-9926",
            "fax_number": "917-652-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROME AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044317",
            "telephone_number": "718-351-6203",
            "fax_number": "917-652-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARKHANOV MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "TARKHANOV",
        "authorized_official_first_name": "NIKOLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-351-6203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "243184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent P Tarantola, MD
• Targee Street Internal Medicine Group
• Target Pharmacy
• Target Physical Therapy PC
• Jeanmarie Tari, NP
• Nikolay Tarkhanov, M.D.
• Margarita Tarkhanova, LMSW
• Tafima Tarley
• Ahuva Tarnoff
• Oksana Tarnovetskyi

• Primary Care Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.