Eldar Kadymoff, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

228086 Issued in NY

Practice address

1711 Sheepshead Bay Rd
NGM/Prime Care on the Bay
Brooklyn, NY 11235-3651

Phone

(718) 332-8002

Fax

(718) 332-8006

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

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.

• Akh Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1235494543
  NPD (past)
• Brooklyn Family Medical Care

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1871684753
  NPD (past)
• New Generation Medical P.C

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1518159532
  NPD (past)
• Prominis Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1841323771
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1669466249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 SHEEPSHEAD BAY RD",
            "address_2": "NGM/PRIME CARE ON THE BAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353651",
            "telephone_number": "718-332-8002",
            "fax_number": "718-332-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SHEEPSHEAD BAY RD",
            "address_2": "NGM/PRIME CARE ON THE BAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353651",
            "telephone_number": "718-332-8002",
            "fax_number": "718-332-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADYMOFF",
        "first_name": "ELDAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02391642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Korin Kadosh, RN
• Rose Kadosh
• Madhura Kadrekar
• Bilkis O Kadri
• Firas Kadurei
• Irfa Kafayat, MD
• Joanna Kaferi
• Faigy Kaff, MADE
• Sheindy Kaff
• Shanel Kafif, OTR/L

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.