Fanya Kandinov, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME119379 Issued in FL

Practice address

301 174TH St
Apt 1918
Sunny Isles Beach, FL 33160-3206

Phone

(201) 328-2888

NPI assigned

May 26, 2006

Last updated

Jul 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ziphycare Medical of Florida, P.a.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1104580935
  NPD
• Cardio-Med Services LLC

  • Internal Medicine Physician
  • Union City, NJ
  • NPI 1255313623
  NPD (past)
• Meadowlands Physicians Professional Association

  • General Practice Physician
  • Secaucus, NJ
  • NPI 1669728283
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1811943277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 174TH ST",
            "address_2": "APT 1918",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 174TH ST",
            "address_2": "APT 1918",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603206",
            "telephone_number": "201-328-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDINOV",
        "first_name": "FANYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07115100",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Balance Psychotherapy
• Jackson North Hospitalist Group LLC
• Nina Asenova Jackson, MSLP
• Jmpo Consulting LLC (Happy Hearts Therapy, LLC)
• Jupiter Imaging Associates
• Alan Kaufman, M.D.
• Kesselman Eye Care, Inc. (Riviera Vision)
• Svetlana R. Keyser, MD
• Elmira Khazak
• Kids Therapy Center LLC

• Internal Medicine Physician in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.