Yakov Shalamov

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

019647 Issued in NY

Practice address

6416 110TH St FL 1
Forest Hills, NY 11375-1414

Phone

(347) 394-8050

NPI assigned

May 1, 2016

Last updated

May 1, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Queens Doctors

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1477932275
  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Mount Sinai Hospital

  • Community/Retail Pharmacy
  • Astoria, NY
  • NPI 1588408421
  NPD
• The Mount Sinai Hospital

  dba Mount Sinai Queens, Professional Billing

  • General Acute Care Hospital
  • Long Island City, NY
  • NPI 1013948595
  NPD
• Medical Care for You PC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1659906667

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462060800000",
    "number": "1538514237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 110TH ST FL 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 110TH ST FL 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751414",
            "telephone_number": "347-394-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALAMOV",
        "first_name": "YAKOV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-01",
        "last_updated": "2016-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Shakarov, DO
• Diana Shalamov, OD
• Elina Shalamov, OD
• Jacqueline Shalamov, OTD, OTR/L
• Michelle Shalamov, PHARM. D
• Bella Shalamova, FNP
• Nicole Shalamova, CM
• Elana Shalom, PA
• Albert Shalomov, MD
• Sirafima Shalomova

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.