Dix Hills Medical, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DIX HILLS MEDICAL, PC

Practice address

691 92ND St
Brooklyn, NY 11228-3619

Phone

(718) 946-4600

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Robert Kaylakov, MDNPI 1184683633

Title

President

Phone

(646) 339-4059

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaina Avit

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1407632763
  Medicare reassignment Care Compare group NPD
• Robert Kaylakov, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1184683633
  Medicare reassignment NPD Authorized official
• Marina Timoshenko

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1831959691
  Medicare reassignment Care Compare group NPD
• Meghan Carney

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1871224394
  NPD

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1619573185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 TIMBER RIDGE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283619",
            "telephone_number": "718-946-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIX HILLS MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "KAYLAKOV",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-339-4059",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estela B Divino, LCSW
• Division Car and Limo
• Division Pharmacy,Inc
• Giezel Diwa, M.A, CCC-SLP
• Nazariy Diwnich, FNP
• Kai Dix, MHC-LP
• Anant Dixit, M.D.
• Chaitanya V Dixit, DPM
• Shiv Dixit, MD
• Carol Dixon- Hugh, CNM

• Physical Medicine & Rehabilitation Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.