Organization Active NPI

Boris Khaimov, DO PLLC

  • Psychiatry Physician
  • Garden City, NY
National Provider Identifier
1588595805
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BORIS KHAIMOV, DO PLLC
Practice address
229 7TH St Ste 305
Garden City, NY 11530-5766
Phone
(917) 981-9086
Fax
(917) 477-2278
NPI assigned
May 26, 2026
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Boris Khaimov, DONPI 1720297872
Title
Psychiatrist
Phone
(917) 981-9086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

229 7TH St Ste 305
Garden City, NY 11530-5766

Mailing address

229 7TH St Ste 305
Garden City, NY 11530-5766
Phone (917) 981-9086

Other practice location 1

11 Grace Ave Ste 204
Great Neck, NY 11021-2417
Phone (917) 981-9086

National Provider Directory

National Provider Directory

Locations

11 Grace Ave
Ste 204
Great Neck, NY 11021
Phone (516) 654-5551

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1588595805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 7TH ST STE 305",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305766",
            "telephone_number": "917-981-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 7TH ST STE 305",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305766",
            "telephone_number": "917-981-9086",
            "fax_number": "917-477-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Grace Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110212417",
            "country_code": "US",
            "telephone_number": "917-981-9086",
            "fax_number": "917-477-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BORIS KHAIMOV, DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "917-981-9086",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.