Mark Khaimov, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

352395 Issued in NY

Practice address

1810 Avenue N Apt 3E
Brooklyn, NY 11230-6162

Phone

(718) 844-8278

NPI assigned

Dec 4, 2023

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kings County House Calls NP in Family Health PLLCGroup PAC ID 3971844606, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• Four Seasons Nursing & Rehabilitation Chha Home health agency, Brooklyn, NY, CCN 337434
• Excellent Home Care Services LLC Home health agency, Brooklyn, NY, CCN 337424

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Kings County House Calls NP in Family Health PLLC

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1962976274
  Medicare reassignment Care Compare group NPD

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

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Excellent Home Care Services, LLC

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1881708642
  Care Compare affiliation
• FSNR Chha LLC

  dba Four Seasons Nursing and Reahbilitation Certified Home Health Agency

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1093367039
  Care Compare affiliation
• Gamzel Ny, Inc

  dba Revival Home Health Care

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation
• HCS Certified Home Care Ny Inc

  dba Girling Health Care of New york, Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1962278630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 AVENUE N APT 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306162",
            "telephone_number": "718-844-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 AVENUE N APT 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306162",
            "telephone_number": "718-844-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIMOV",
        "first_name": "MARK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "352395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avner Khaimov, PHARM.D
• Danny Khaimov
• Irina Khaimov, SLP
• Leah Khaimov
• Marina Khaimov, RPA-C
• Nerri Khaimov, MSW
• Rafael Khaimov, RPH
• Regina Khaimov, SLP CF
• Chaya M Khaimova
• Diana Khaimova

• Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.