Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mikhail I. Khaimov, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043577943

Dr. Mikhail I. Khaimov, DO is an Orthopedic Surgery in Glen Ridge, New Jersey. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2012, 14 years ago. Practices with Mpv New Jersey MD Services PC, a 145-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

311 Bay Ave Ste 300B
Glen Ridge, NJ 07028-1607
Phone: (973) 798-4777
Fax: (201) 523-9550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 272593 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043577943
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2012
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2012 (14 years in practice)
Group practice Mpv New Jersey Md Services Pc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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