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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICHELLE KHAIMOV
NPI 1780596841
Physician Assistant in Great Neck, NY

Active since September 22, 2026
12 OLD COLONY LN, GREAT NECK, NY 11023(718) 290-3353 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Michelle Khaimov NPPES

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

MICHELLE KHAIMOV (NPI 1780596841) is an individual physician assistant in Great Neck, New York and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1780596841
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE KHAIMOV
Location Address12 OLD COLONY LNGreat Neck, NY 11023-1624
Mailing Address12 Old Colony LnGreat Neck, NY 11023-1624 · (718) 290-3353
Phone(718) 290-3353
Sole ProprietorYes
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1780596841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12 OLD COLONY LN, Great Neck, NY 11023
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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 Michelle Khaimov's NPI number?

The NPI number for Michelle Khaimov is 1780596841. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is Michelle Khaimov located?

Michelle Khaimov practices at 12 Old Colony Ln, Great Neck, NY 11023. The listed phone number is (718) 290-3353.

What is Michelle Khaimov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michelle Khaimov was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.