Active NPI
Vladimir Volokh, D.O.
- Family Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 224973
- Practice address
- 288 Sand LN
Staten Island, NY 10305-4512 - Phone
- (718) 644-3848
- Fax
- (718) 556-6389
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 224973 | NY | Primary |
Addresses
Primary practice location
288 Sand LN
Staten Island, NY 10305-4512
Mailing address
288 Sand LN
Staten Island, NY 10305-4512
Phone (718) 644-3848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111Q1 | Other | NY | BLUECROSS BLUESHIELD |
| 02354992 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
288 Sand LN
Staten Island, NY 10305-4512
Phone (718) 556-3377
55 E 34TH St
New York, NY 10016-4337
Phone (212) 252-6131
7316 13TH Ave
Brooklyn, NY 11228-2011
Phone (718) 630-1404
Hospital & facility affiliations
- Staten Island University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Family Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Family Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Prominis Medical Services PC | Current | Accepting new patients | |
| Intermed Care PC | Past | Accepting new patients | |
| Lich Faculty Practice | Past | Accepting new patients | |
| Penn Medical Services, P.C. | Past | Accepting new patients | |
| Long Island College Hospital | Past | Accepting new patients |
Locations
228 Bushwick Ave
Ste 1A
Brooklyn, NY 11206
Phone (718) 388-8400
332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
55 E 34th St
New York, NY 10016
Phone (212) 252-6131
55 E 34th St
Fl 1
New York, NY 10016
Phone (212) 252-6131
234 E 85th St
New York, NY 10028
Phone (212) 241-6585
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1568841930
Family Medicine
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1841323771
-
- Emergency Medicine Physician
- New York, NY
- NPI 1124392238
-
- Emergency Medicine Physician
- New York, NY
- NPI 1679083984
Family Medicine
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Legal Medicine
- Brooklyn, NY
- NPI 1144235516
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1104018902
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1912091828
-
- Specialist
- New York, NY
- NPI 1003098690
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1598731564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 SAND LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054512",
"telephone_number": "718-644-3848",
"fax_number": "718-556-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 SAND LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054512",
"telephone_number": "718-644-3848",
"fax_number": "718-556-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLOKH",
"first_name": "VLADIMIR",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "224973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "2111Q1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02354992",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.