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GABRIEL HAFISOV
NPI 1144987090
Student in an Organized Health Care Education/Training Program in Jamaica, NY

Active since November 25, 2021PECOS Enrolled
82-68 164TH STREET, JAMAICA, NY 11432(718) 883-3000 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Nov 25, 2021 (2 updates tracked since 2021).

About Gabriel Hafisov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABRIEL HAFISOV (NPI 1144987090) is an individual student in an organized health care education/training program in Jamaica, New York and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144987090
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGABRIEL HAFISOV
Location Address82-68 164TH STREETJamaica, NY 11432
Mailing Address82-68 164th StreetJamaica, NY 11432 · (718) 883-3000
Phone(718) 883-3000
Sole ProprietorNo
Enumeration DateNovember 25, 2021
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1144987090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
82-68 164TH STREET, Jamaica, NY 11432
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriel Hafisov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAFEA ALI M.D.
Internal Medicine (Geriatric Medicine)
82-68 164TH STREET, QUEENS HOSPITAL CENTER
QUEENS, NY 11432
Queens County (718) 883-4050
ANA LUCIA ALVITES P.A.-C
Physician Assistant
82-68 164TH STREET
JAMAICA, NY 11432
Queens County (718) 883-3000
EVAN SALVATI
Radiology (Diagnostic Radiology)
82-68 164TH STREET, QUEENS HOSPITAL CENTER
JAMAICA, NY 11432
Queens County (718) 883-3591
FNU SHAZNA MD
Student in an Organized Health Care Education/Training Program
82-68 164TH STREET, N BUILDING 7TH FLOOR, ROOM N705
JAMAICA, NY 11432
Queens County (718) 883-4583
MARIANELA FERNANDEZ
Physician Assistant
82-68 164TH STREET, SUITE 1B-02
JAMAICA, NY 11432
Queens County (718) 883-3070
LEONARD SMITH
Physician Assistant (Surgical)
82-68 164TH STREET
QUEENS, NY 11432
Queens County (718) 883-4640
RIFFAT E TASNIM RAHIE M.D.
Student in an Organized Health Care Education/Training Program
82-68 164TH STREET, RM N705
JAMAICA, NY 11432
Queens County (718) 883-4583
DHANDEVI PERSAND DO
Student in an Organized Health Care Education/Training Program
82-68 164TH STREET, N BUILDING, 7TH FLOOR, ROOM N705
JAMAICA, NY 11432
Queens County (718) 883-4583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel Hafisov's NPI number?

The NPI number for Gabriel Hafisov is 1144987090. It was assigned to this individual provider in the NPPES registry on November 25, 2021.

Where is Gabriel Hafisov located?

Gabriel Hafisov practices at 82-68 164th Street, Jamaica, NY 11432. The listed phone number is (718) 883-3000.

What is Gabriel Hafisov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gabriel Hafisov enrolled in Medicare?

Yes. Gabriel Hafisov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gabriel Hafisov was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.