VITALIY FATAKHOV FNP
NPI 1699477745
Nurse Practitioner - Family in Rego Park, NY

Q: What is Vitaliy Fatakhov's NPI number?

The NPI number for Vitaliy Fatakhov is 1699477745. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Vitaliy Fatakhov's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vitaliy Fatakhov was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 21, 2023

9618 63RD DR # 202, REGO PARK, NY 11374(347) 806-2666(718) 889-6906 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vitaliy Fatakhov Fnp NPPES

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

VITALIY FATAKHOV FNP (NPI 1699477745) is an individual family provider in Rego Park, New York, licensed in New York (F351197-01) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1699477745

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameVITALIY FATAKHOVCredential: FNP

Location Address9618 63RD DR # 202Rego Park, NY 11374-2297

Mailing Address9618 63rd Dr # 202Rego Park, NY 11374-2297 · (347) 806-2666 · Fax (718) 889-6906

Phone(347) 806-2666

Fax(718) 889-6906

Sole ProprietorNo

Enumeration DateMarch 21, 2023

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1699477745 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 · F351197-01

9618 63RD DR # 202, Rego Park, NY 11374

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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 Vitaliy Fatakhov's NPI number?

The NPI number for Vitaliy Fatakhov is 1699477745. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Vitaliy Fatakhov located?

Vitaliy Fatakhov practices at 9618 63rd Dr # 202, Rego Park, NY 11374. The listed phone number is (347) 806-2666.

What is Vitaliy Fatakhov's specialty?

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

When was this NPI record last updated?

The NPPES record for Vitaliy Fatakhov was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.