Active NPI
Alina Elazar Kandov, PA
- Physician Assistant
- Forest Hills, NY
National Provider Identifier
1659615367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 016252
- Practice address
- 7136 110TH St Apt 1E
Forest Hills, NY 11375-4834 - Phone
- (718) 896-0105
- NPI assigned
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 016252 | NY | Primary |
Addresses
Primary practice location
7136 110TH St Apt 1E
Forest Hills, NY 11375-4834
Mailing address
14442 75TH Ave
Flushing, NY 11367-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016252 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1659615367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14442 75TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113672415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7136 110TH ST APT 1E",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754834",
"telephone_number": "718-896-0105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDOV",
"first_name": "ALINA",
"middle_name": "ELAZAR",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "016252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.