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KHAIMOV PEDIATRICS PLLC
NPI 1447508064
Pediatrics in Forest Hills, NY

Active since August 29, 2012CLIA 33D2020519 · Waiver
64-05 YELLOWSTONE BLVD, CF104, FOREST HILLS, NY 11375(718) 606-2700(718) 606-2715 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Khaimov Pediatrics Pllc NPPES

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

KHAIMOV PEDIATRICS PLLC (NPI 1447508064), doing business as Rafik Khaimov Medical Pc, is a healthcare organization registered as a pediatrics in Forest Hills, New York and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Rafik Khaimov, President, as its authorized official.

NPPES Registry Identity

NPI1447508064
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKHAIMOV PEDIATRICS PLLC
Location Address64-05 YELLOWSTONE BLVD, CF104Forest Hills, NY 11375-5656
Mailing Address71-26 Yellowstone BlvdForest Hills, NY 11375-5656 · (718) 606-2700 · Fax (718) 606-2715
Phone(718) 606-2700
Fax(718) 606-2715
Organization SubpartNo
Authorized OfficialRafik KhaimovPresident · (917) 776-3092
Enumeration DateAugust 29, 2012
✔ NPI 1447508064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
64-05 YELLOWSTONE BLVD, Forest Hills, NY 11375
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Other Names 1

Former Legal Business NameRafik Khaimov Medical Pc

Other Identifiers 1

Medicaid02568129NY

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2020519

Khaimov Pediatrics PLLC · Forest Hills, NY
Active · expires Feb 21, 2027
CLIA Number33D2020519
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorDr. Rafik Khaimov
Laboratory Phone(718) 606-2700
Laboratory LocationKhaimov Pediatrics PLLC64-05 Yellowstone Boulevard, Forest Hills, NY 11375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Khaimov Pediatrics PLLC's NPI number?

The NPI number for Khaimov Pediatrics PLLC is 1447508064. It was assigned to this organization in the NPPES registry on August 29, 2012. The provider was formerly known as Rafik Khaimov Medical PC.

Where is Khaimov Pediatrics PLLC located?

Khaimov Pediatrics PLLC is located at 64-05 Yellowstone Blvd Cf104, Forest Hills, NY 11375. The listed phone number is (718) 606-2700.

What is Khaimov Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Khaimov Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2020519) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Khaimov Pediatrics PLLC was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.