OrganizationActive
Tarkhanov Medical P.C.
NPI 1508308743 · Primary Care Clinic/Center · Staten Island, NY
Provider details
- NPI number
- 1508308743
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nikolay Tarkhanov, Owner(718) 351-6203
- License
- 243184 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
15 Rome Ave
Staten Island, NY 10304-4317
Phone: (718) 351-6203
Fax: (917) 652-0951
Street-level locationGet directions
Mailing address
15 Rome Ave
Staten Island, NY 10304-4317
Registry dates
- Enumerated
- 2016-11-04
- Last updated
- 2016-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.