| NPI | 1255358164 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-16 |
| Last Updated | 2024-09-24 |
| Mailing Address | 34 Dumont Ave Staten Island, NY 10305-1450 United States Phone: (718) 980-3232 | Fax: (718) 980-3233 📍 View Map |
| Primary Practice Address | 34 Dumont Ave Staten Island, NY 10305-1450 United States Phone: (718) 980-3232 | Fax: (718) 980-3233 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02010997 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | NY | 212257 |
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About NPI 1255358164
Rena Khanukayeva is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1255358164. The primary specialty listed is Family Medicine. The provider is located in Staten Island, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255358164?
NPI 1255358164 belongs to Rena Khanukayeva, a Family Medicine in Staten Island, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255358164 active?
The current status of NPI 1255358164 in the NPPES registry is Active. The record was last updated on 2024-09-24.
What specialty is NPI 1255358164?
NPI 1255358164 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255358164?
You can verify NPI 1255358164 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255358164?
The primary practice address on file for NPI 1255358164 is 34 Dumont Ave, Staten Island, NY 10305-1450. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255358164 issued?
NPI 1255358164 was first issued (enumerated) on 2006-07-16. The NPPES record was last updated on 2024-09-24.
Practice Location Map
Rena Khanukayeva is located at 34 Dumont Ave, Staten Island, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Rena Khanukayeva. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255358164. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 212257 | NY |