Boris N Fatakhov, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

231567 Issued in NY

Practice address

606 Winthrop St
6 Building
Brooklyn, NY 11203-1709

Phone

(718) 245-2362

NPI assigned

Jan 4, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: bfatakhov1052272@nychhc.direct-ci.com

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.

• New York City Health and Hospitals Corporation

  dba Kings County Hospital Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1043224355
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871571448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 YELLOWSTONE BLVD",
            "address_2": "APT 2P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753541",
            "telephone_number": "718-575-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WINTHROP ST",
            "address_2": "6 BUILDING",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031709",
            "telephone_number": "718-245-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATAKHOV",
        "first_name": "BORIS",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "231567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fastrad Pennsylvania LLC
• Venka D Fasulo, R.N
• Gerardina Elvira Fata, M.A.,CCC-SLP
• Fayoke Fatade, RN
• Nadia Fatahi
• Alina Fatakhova, PT, DPT
• Inessa Fatakhova
• Mazol Fatakhova
• Timothy Fatato, LAC
• Natalia G Fateeva

• 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 Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.