TARKHANOV MEDICAL P.C.
NPI 1508308743
Clinic/Center - Primary Care in Staten Island, NY

Active since November 04, 2016
15 ROME AVE, STATEN ISLAND, NY 10304(718) 351-6203(917) 652-0951 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tarkhanov Medical P.c. NPPES

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

TARKHANOV MEDICAL P.C. (NPI 1508308743) is a healthcare organization registered as a primary care in Staten Island, New York and active in the NPI registry since November 2016. The organization lists Nikolay Tarkhanov, Owner, as its authorized official.

NPPES Registry Identity

NPI1508308743
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTARKHANOV MEDICAL P.C.
Location Address15 ROME AVEStaten Island, NY 10304-4317
Mailing Address15 Rome AveStaten Island, NY 10304-4317 · (917) 273-9926 · Fax (917) 652-0951
Fax(917) 652-0951
Organization SubpartNo
Authorized OfficialNikolay TarkhanovOwner · (718) 351-6203
Enumeration DateNovember 4, 2016
NPI 1508308743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NY · 243184
15 ROME AVE, Staten Island, NY 10304

Other Providers at the Same Location NPPES 2

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

Family Medicine
15 ROME AVE
STATEN ISLAND, NY 10304
Social Worker
15 ROME AVE
STATEN ISLAND, NY 10304

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 Tarkhanov Medical P.C.'s NPI number?

The NPI number for Tarkhanov Medical P.C. is 1508308743. It was assigned to this organization in the NPPES registry on November 4, 2016.

Where is Tarkhanov Medical P.C. located?

Tarkhanov Medical P.C. is located at 15 Rome Ave, Staten Island, NY 10304. The listed phone number is (718) 351-6203.

What is Tarkhanov Medical P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Tarkhanov Medical P.C. was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.