Rochelle Khanimov

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

15002 76TH Rd
Kew Gardens Hills, NY 11367-3141

Phone

(917) 757-3245

NPI assigned

Aug 22, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1902572647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15002 76TH RD",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113673141",
            "telephone_number": "917-757-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15002 76TH RD",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113673141",
            "telephone_number": "917-757-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANIMOV",
        "first_name": "ROCHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Gross
• Elizabeth Clara Hirsch, MS, PT
• Lingsum Hsucheng, PT, DPT
• Stephen Jue
• Brianna Simone Kelly, MS
• LCSW Interventions for Emotional Growth, PC
• Jack M. Levine, M.D.
• Emily Lorber
• Asha Mampilly, OTR/L
• Molly T McMahon, MSED

• Specialist in Kew Gardens Hills, NY
• Providers in Kew Gardens Hills, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.