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JACQUELINE KANDOV FNP-BC
NPI 1366365306
Nurse Practitioner - Family in Brooklyn, NY

Active since August 04, 2026PECOS Enrolled
221 SEA BREEZE AVE, BROOKLYN, NY 11224(718) 310-9145 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jacqueline Kandov Fnp-bc NPPES

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

JACQUELINE KANDOV FNP-BC (NPI 1366365306) is an individual family provider in Brooklyn, New York, licensed in New York (359028) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366365306
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE KANDOVCredential: FNP-BC
Location Address221 SEA BREEZE AVEBrooklyn, NY 11224-3454
Mailing Address221 Sea Breeze AveBrooklyn, NY 11224-3454
Phone(718) 310-9145
Sole ProprietorYes
Enumeration DateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1366365306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 359028
221 SEA BREEZE AVE, Brooklyn, NY 11224
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Kandov Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacqueline Kandov's NPI number?

The NPI number for Jacqueline Kandov is 1366365306. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Jacqueline Kandov located?

Jacqueline Kandov practices at 221 Sea Breeze Ave, Brooklyn, NY 11224. The listed phone number is (718) 310-9145.

What is Jacqueline Kandov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Kandov enrolled in Medicare?

Yes. Jacqueline Kandov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Kandov was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.