SERGEY PROKHOROV MD
NPI 1366419962
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Rego Park, NY

Q: What is Sergey Prokhorov's NPI number?

The NPI number for Sergey Prokhorov is 1366419962. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Q: What is Sergey Prokhorov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Sergey Prokhorov was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 02, 2006PECOS Enrolled

9817 QUEENS BOULEVARD, LL2, REGO PARK, NY 11374(718) 275-5600(718) 275-5608 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sergey Prokhorov Md NPPES

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

SERGEY PROKHOROV MD (NPI 1366419962) is an individual neurology with special qualifications in child neurology provider in Rego Park, New York, licensed in New York (231008) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366419962

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameSERGEY PROKHOROVCredential: MD

Location Address9817 QUEENS BOULEVARD, LL2Rego Park, NY 11374-3336

Mailing Address9817 Queens Boulevard, Ll2Rego Park, NY 11374-3336 · (718) 275-5600 · Fax (718) 275-5608

Phone(718) 275-5600

Fax(718) 275-5608

Sole ProprietorNo

Enumeration DateMarch 2, 2006

Last NPPES UpdateJune 10, 2011

✔ NPI 1366419962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in NY · 231008

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

9817 QUEENS BOULEVARD, Rego Park, NY 11374

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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)

Sergey Prokhorov Md 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 11374 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

Other Providers at the Same Location NPPES

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

SVETLANA PROKHOROVA M.D.

Pediatrics

9817 QUEENS BOULEVARD, LL2
REGO PARK, NY 11374

Queens County (718) 275-5600

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 Sergey Prokhorov's NPI number?

The NPI number for Sergey Prokhorov is 1366419962. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Sergey Prokhorov located?

Sergey Prokhorov practices at 9817 Queens Boulevard Ll2, Rego Park, NY 11374. The listed phone number is (718) 275-5600.

What is Sergey Prokhorov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Sergey Prokhorov enrolled in Medicare?

Yes. Sergey Prokhorov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergey Prokhorov was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.