Prokhorov's Pediatrics and Child Neurology PC
NPI 1104132778ActiveOrganization· Pediatrics· Rego Park, NY
Pediatrics in Rego Park, New York, registered in NPPES in August 2010. The authorized official on file is Svetlana Prokhorova, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104132778 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2010 |
| Last updated in NPPES | Jun 3, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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