Yury Takhalov, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

255706 Issued in NY

Practice address

Stony Brook University Hospital
Dept of Pathology Hos2
Stony Brook, NY 11794-7025

Phone

(631) 444-2224

Fax

(631) 444-3424

NPI assigned

Mar 19, 2008

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

Practice roles

Locations

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

• Ghassan Philip Sayegh DO PLLC

  • Gastroenterology Physician
  • Yonkers, NY
  • NPI 1942949151
  Medicare reassignment NPD
• Wyckoff Professional Medical Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1659710796

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment NPD
• Singular Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Hartsdale, NY
  • NPI 1881086718
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1932370731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S. WOOD ST., SUITE 130 CSN",
            "address_2": "UNIVERSITY OF ILLINOIS AT CHICAGO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-996-3879",
            "fax_number": "312-413-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "DEPT OF PATHOLOGY HOS2",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947025",
            "telephone_number": "631-444-2224",
            "fax_number": "631-444-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKHALOV",
        "first_name": "YURY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "255706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidra Tahseen, D.O
• Kathleen Mary Taibi, RN ANP
• Lorne Taichman, M.D.
• Christopher Taiwo
• Vinay Manohar Tak, MD, FRCS(ED), FACS
• Matthew Takos, M.D.
• Mark A Talamini, M.D.
• Norris Claiborne Talbot
• Mir Omer Talpur, MBBS
• Edlira Tam, D.O.

• Anatomic Pathology & Clinical Pathology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.