Individual provider Active NPI

Marina Khazhikarova, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1558943399
Registry record updated Jul 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
331088 Issued in NY
Practice address
2829 Ocean Pkwy Ste 2
Brooklyn, NY 11235-7859
Phone
(718) 724-0900
NPI assigned
Apr 21, 2021
Last updated
Jul 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 331088 NY Primary

Addresses

Primary practice location

2829 Ocean Pkwy Ste 2
Brooklyn, NY 11235-7859

Mailing address

2629 E 23Rd St Apt 3F
Brooklyn, NY 11235-2849
Phone (917) 995-1543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304000229 NY Practitioner - General Practice 5496276727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Medical Care PCGroup PAC ID 8224219860, 6 clinicians
Shore Medical PCGroup PAC ID 7810116761, 7 clinicians

Practice addresses (Care Compare)

2829 Ocean Pkwy
Suite 2
Brooklyn, NY 11235-7859
Phone (718) 616-0500

2865 Brighton 3Rd St
Brooklyn, NY 11235-6762
Phone (718) 891-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Medical Care PC CurrentSince Feb 1, 2025 Accepting new patients
Shore Medical PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

2829 Ocean Pkwy
Ste 2
Brooklyn, NY 11235
Phone (718) 891-6500

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

3035 W 24th St
Brooklyn, NY 11224
Phone (347) 348-1518

2076 Hylan Blvd
Staten Island, NY 10306
Phone (347) 702-4173

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1558943399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E 23RD ST APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352849",
            "telephone_number": "917-995-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 OCEAN PKWY STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357859",
            "telephone_number": "718-724-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAZHIKAROVA",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "331088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.