Individual provider Active NPI

Vladimir Volokh, D.O.

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1598731564
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
224973 Issued in NY
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

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2111Q1OtherNYBLUECROSS BLUESHIELD
02354992MedicaidNY

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
I20040510001680 NY Practitioner - Family Practice 9638168099 Reassigns benefits to 5 organizations

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
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

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 Hospital, Staten Island, NY, CCN 330160

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Mar 14, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 19, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Nov 12, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 14, 2022 Accepting new patients
Prominis Medical Services PC CurrentSince Feb 1, 2019 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.

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": "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

Verify at the official NPI Registry.