MR. OFER HAIDATOV FNP
NPI 1487265922
Nurse Practitioner - Family in Oakland Gardens, NY
About Mr. Ofer Haidatov Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. OFER HAIDATOV FNP (NPI 1487265922) is an individual family provider in Oakland Gardens, New York, licensed in New York (346340) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Ofer Haidatov Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ofer Haidatov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10010
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ofer Haidatov's NPI number?
The NPI number for Ofer Haidatov is 1487265922. It was assigned to this individual provider in the NPPES registry on August 10, 2020.
Where is Ofer Haidatov located?
Ofer Haidatov practices at 7536 Bell Blvd Apt 6B, Oakland Gardens, NY 11364. The listed phone number is (646) 898-7422.
What is Ofer Haidatov's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ofer Haidatov enrolled in Medicare?
Yes. Ofer Haidatov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ofer Haidatov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ofer Haidatov reassigns Medicare benefits to Pain Physicians Ny PLLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ofer Haidatov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ofer Haidatov was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Ofer Haidatov, FNP · NPI 1487265922
Family physician in Oakland Gardens, New York. Individual provider, active in the CMS NPPES registry since August 10, 2020.
## Identity
- **NPI:** 1487265922 (Entity type: Individual)
- **Enumerated:** August 10, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 346340 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 7536 BELL BLVD APT 6B, Oakland Gardens, NY 11364-3434
- **Phone:** (646) 898-7422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pain Physicians Ny PLLC (NPI 1538465497, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 10, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1487265922) · Data from the CMS NPPES public registry.