Yevgeniy Khaldarov, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

221405 Issued in NY

Practice address

1545 Atlantic Ave
Brooklyn, NY 11213-1122

Phone

(718) 613-4929

Fax

(718) 613-9517

NPI assigned

May 24, 2006

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Long Island Consultation Center IncGroup PAC ID 8729068622, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/
• FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

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.

• Long Island Consultation Center, Inc.

  • Clinical Social Worker
  • Elmhurst, NY
  • NPI 1295878577
  Medicare reassignment Care Compare group NPD
• Bleuler Psychotherapy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Forest Hills, NY
  • NPI 1801949706
  Medicare reassignment NPD
• Interfaith Psychiatry Services, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1487958559
  Medicare reassignment NPD
• Long Island Consultation Center

  • Counselor
  • Elmhurst, NY
  • NPI 1356016703
  NPD
• Interfaith Medical Center

  dba IMC Associates

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1487695235

  Psychiatry

  NPD (past)
• Wyckoff Medical Services, P C

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1558308411
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1710932926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-07 168 STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-613-4929",
            "fax_number": "718-613-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131122",
            "telephone_number": "718-613-4929",
            "fax_number": "718-613-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALDAROV",
        "first_name": "YEVGENIY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "221405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02288571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamir Khaitov
• Saima Khaja
• Larissa Khakham, MSW, LMSW
• Elina Khakimova
• Mahmoud Nabil Fathy Khalafalla, MD
• Joneigh Slaughter Khaldun, M.D.
• Zeina Khaled
• Victoria Khalef, M.D.
• Ahmad Sajad Khaleqi
• Qays Khalfan

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.