Prokhorov'S Pediatrics and Child Neurology PC
NPI 1104132778 · Pediatrics Physician · Rego Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prokhorov'S Pediatrics and Child Neurology PC is a Pediatrics Physician organization in Rego Park, NY (NPI 1104132778).
Provider details
- NPI number
- 1104132778
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Svetlana Prokhorova, President(718) 938-8762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-20
- Last updated
- 2011-06-03
Frequently asked questions
- What is Prokhorov'S Pediatrics and Child Neurology PC's NPI number?
- Prokhorov'S Pediatrics and Child Neurology PC's National Provider Identifier (NPI) is 1104132778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prokhorov'S Pediatrics and Child Neurology PC?
- Prokhorov'S Pediatrics and Child Neurology PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Prokhorov'S Pediatrics and Child Neurology PC located?
- Prokhorov'S Pediatrics and Child Neurology PC's practice location on file with NPPES is 9817 Queens Blvd, Rego Park, NY 11374-3336.
- What is Prokhorov'S Pediatrics and Child Neurology PC's phone number?
- The practice phone number listed in the NPPES registry for Prokhorov'S Pediatrics and Child Neurology PC is (718) 275-5600.
- Does Prokhorov'S Pediatrics and Child Neurology PC accept Medicare?
- Prokhorov'S Pediatrics and Child Neurology PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prokhorov'S Pediatrics and Child Neurology PC?
- The authorized official listed on Prokhorov'S Pediatrics and Child Neurology PC's NPPES record is Svetlana Prokhorova, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prokhorov'S Pediatrics and Child Neurology PC's NPI active?
- Yes — Prokhorov'S Pediatrics and Child Neurology PC's NPI (1104132778) is active in the NPPES registry as of the last update on 2011-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.