NPIMap

Individual provider Active NPI

Yuriy Yakubovich Takhalov, MD

  • Pulmonary Disease Physician
  • East Patchogue, NY
National Provider Identifier
1841515392
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
271400 Issued in NY
Practice address
285 Sills Rd Ste B
East Patchogue, NY 11772-4869
Phone
(631) 654-4577
Fax
(631) 654-3391
NPI assigned
Mar 27, 2010
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA09904100 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 271400 NY
Pulmonary Disease Physician 207RP1001X 25MA09904100 NJ
Pulmonary Disease Physician 207RP1001X 271400 NY Primary

Addresses

Primary practice location

285 Sills Rd Ste B
East Patchogue, NY 11772-4869

Mailing address

285 Sills Rd Ste B
East Patchogue, NY 11772-4869
Phone (631) 654-4577

Other practice location 1

29 E 29th St
Bayonne, NJ 07002-4654
Phone (917) 575-8884

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ytakhalov504441@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021001037 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7416182852 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 13, 2013 Accepting new patients
New York University CurrentSince Sep 7, 2022 Accepting new patients
New York University CurrentSince Sep 7, 2022 Accepting new patients
Huntington Hospital Association Current Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Huntington Hospital Association Critical Care Medicine CurrentSince Apr 28, 2014 Accepting new patients
Wyckoff Professional Medical Services, PC Pulmonary Disease CurrentSince Jun 1, 2021 Accepting new patients
Huntington Hospital Association CurrentSince Apr 28, 2014 Accepting new patients
Long Island Community Hospital at NYU Langone Health Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

285 Sills Rd
Bldg 7B
East Patchogue, NY 11772
Phone (631) 654-4577

285 Sills Rd
Ste B
East Patchogue, NY 11772
Phone (631) 654-4577

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
Manhasset, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: yuriy.takhalov@direct.bayonnemedicalcenter.md

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1841515392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD STE B",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-654-4577",
            "fax_number": "631-654-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD STE B",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-654-4577",
            "fax_number": "631-654-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 E 29th St",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024654",
            "country_code": "US",
            "telephone_number": "917-575-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKHALOV",
        "first_name": "YURIY",
        "middle_name": "YAKUBOVICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA09904100",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "271400",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA09904100",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "271400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ytakhalov504441@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "285 Sills Rd Ste B",
            "city": "East Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117724869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.