Rena Khanukayeva D.O.,P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

212257 Issued in NY

Legal business name

RENA KHANUKAYEVA D.O.,P.C.

Practice address

2691 Hylan Blvd
Suite # 5
Staten Island, NY 10306-4300

Phone

(718) 980-3232

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Rena Khanukayeva, D.O.NPI 1255358164

Title

President

Phone

(718) 980-3232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Rena Khanukayeva

  • Family Medicine Physician
  • Staten Island, NY
  • NPI 1255358164
  Medicare reassignment Care Compare group NPD Authorized official
• Stella Chalouh

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1942427273
  Medicare reassignment Care Compare group
• Zarina Pinkhasova, NP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1053069930
  Medicare reassignment NPD

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1639370554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 HYLAN BLVD",
            "address_2": "SUITE # 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063231",
            "telephone_number": "718-980-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 HYLAN BLVD",
            "address_2": "SUITE # 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064300",
            "telephone_number": "718-980-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENA KHANUKAYEVA D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "KHANUKAYEVA",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-980-3232",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "212257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rekinect LLC
• Reliable NP in Family Health
• Reliant Care Physical Therapy PC
• Amelia Rella, SLP
• Raymond Remuzzi, DDS
• Adrienne Renda
• Mariaconcetta Renda
• Joanne R Rende
• Kimberly Rendeiro
• Edward Rendon, MD

• Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.