Yuriy Khanin MD, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

230941 Issued in NY

Legal business name

YURIY KHANIN MD, P.C.

Practice address

10753 Guy R Brewer Blvd
Jamaica, NY 11433-2351

Phone

(718) 523-5776

Fax

(718) 526-1132

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Yuriy Khanin, M.D.

Title

Attending Physician

Phone

(718) 523-5776

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1659676930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332351",
            "telephone_number": "718-523-5776",
            "fax_number": "718-526-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 GUY R BREWER BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332351",
            "telephone_number": "718-523-5776",
            "fax_number": "718-526-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURIY KHANIN MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "KHANIN",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "718-523-5776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "230941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02554736",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadezhda Yuabova
• Kevin Yudianto, CTRS
• Judy Yuen
• Cheung Bor Yui, MD
• Igor Yukelis, MD
• Habibat M Yusuf, LMSW
• Michael Yusupov, DDS
• Elana Yusupova, P.A.
• Izabella Yusupova, NP
• Roza Yusupova

• Pediatrics Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.