Boulat Kitaev

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

623253 Issued in NY

Practice address

2333 E 22ND St Apt 2F
Brooklyn, NY 11229-4830

Phone

(917) 302-6670

Fax

(347) 702-9687

NPI assigned

Dec 8, 2014

Last updated

Feb 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1598163545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 E 22ND ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294830",
            "telephone_number": "917-302-6670",
            "fax_number": "347-702-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 E 22ND ST APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294830",
            "telephone_number": "917-302-6670",
            "fax_number": "347-702-9687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Avenue T Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112233402",
            "country_code": "US",
            "telephone_number": "917-302-6670",
            "fax_number": "718-373-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITAEV",
        "first_name": "BOULAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "623253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayer Kiss
• Reva Elana Kiss, MS OTR/L
• Magnim Kissao, PA-C
• Michael E Kissin, PH.D.
• Ravi Kissoon
• Yevgeniya Kitaychik, PA
• Fatimat Kitova
• Tassia Kitson
• George Kitt, PA-C, RRT
• Shanard Kitt

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.