Organization Active NPI

Quality Orthopedics and Complete Joint Care, P.C

  • Orthopaedic Surgery Physician
  • Forest Hills, NY
National Provider Identifier
1730509662
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
248464 Issued in NY
Legal business name
QUALITY ORTHOPEDICS AND COMPLETE JOINT CARE, P.C
Practice address
9614 Metropolitan Ave
2ND Floor, Suite a
Forest Hills, NY 11375-6625
Phone
(718) 785-4645
NPI assigned
Apr 17, 2014
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Dr. Aleksandr Khaimov, D.O.NPI 1134323132
Title
President
Phone
(718) 785-4645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 248464 NY Primary

Addresses

Primary practice location

9614 Metropolitan Ave
2ND Floor, Suite a
Forest Hills, NY 11375-6625

Mailing address

9614 Metropolitan Ave
2ND Floor, Suite a
Forest Hills, NY 11375-6625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140829001360 NY Part B Supplier - Clinic/Group Practice 4880812056 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

9614 Metropolitan Ave
Ste 2
Forest Hills, NY 11375
Phone (718) 785-4645

9614 Metropolitan Ave
Ste A
Forest Hills, NY 11375
Phone (718) 785-4645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1730509662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 METROPOLITAN AVE",
            "address_2": "2ND FLOOR, SUITE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 METROPOLITAN AVE",
            "address_2": "2ND FLOOR, SUITE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756625",
            "telephone_number": "718-785-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY ORTHOPEDICS AND COMPLETE JOINT CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-785-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "248464",
            "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 Jan 4, 2016; 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.