Alexandr Safarov Medical P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ALEXANDR SAFAROV MEDICAL P.C.

Practice address

17 Glen Pond Dr Ste 4
Red Hook, NY 12571-1824

Phone

(917) 443-7626

NPI assigned

Aug 3, 2026

Last updated

Aug 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexandr Safarov

Title

President

Phone

(917) 443-9940

Specialties & licenses 1

Addresses

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.

• Mary Yegoryan, PA

  • Physician Assistant
  • Red Hook, NY
  • NPI 1992266233
  NPD (past)

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1801719117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 QUAIL RIDGE RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382931",
            "telephone_number": "917-443-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GLEN POND DR STE 4",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125711824",
            "telephone_number": "917-443-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDR SAFAROV MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "SAFAROV",
        "authorized_official_first_name": "ALEXANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-443-9940",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa A Ackerly, L.M.T.
• Jessica Aiello, LCSW
• Janine Ardohain
• Astor
• Katherine Ayala
• Margaret Pamela Baker, MSN, FNP-C
• Barbara Blisko, DC, PLLC

• Dermatology Physician in Red Hook, NY
• Providers in Red Hook, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.