Individual provider Active NPI

Galina Iskhakov, LCSW, 'R'

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1568483097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
071089, 'R' Issued in NY
Practice address
70-09 Austin Street
Suite 205
Forest Hills, NY 11375-4700
Phone
(718) 263-4008
Fax
(718) 263-3133
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 071089, 'R' NY Primary

Addresses

Primary practice location

70-09 Austin Street
Suite 205
Forest Hills, NY 11375-4700

Mailing address

7009 Austin St
Suite 205
Forest Hills, NY 11375-4700
Phone (718) 263-4008

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000727 NY Practitioner - Clinical Social Worker 1254390883 Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7009 Austin St
Forest Hills, NY 11375-1012
Phone (718) 263-4008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071089, 'R'NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Psychiatric Services, P.C. Past Accepting new patients

Networks

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568483097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 AUSTIN ST",
            "address_2": "SUITE 205",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754700",
            "telephone_number": "718-263-4008",
            "fax_number": "718-263-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70-09 AUSTIN STREET",
            "address_2": "SUITE 205",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754700",
            "telephone_number": "718-263-4008",
            "fax_number": "718-263-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKHAKOV",
        "first_name": "GALINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, 'R'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "071089, 'R'",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.