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

Mr. Albert Khanimov, RPA-C

Individual provider Surgical Physician Assistant · NPI 1255570826

Mr. Albert Khanimov, RPA-C is a Physician Assistant in Rego Park, New York. Qualified in 2008, 18 years ago. Practices with Mount Sinai School of Medicine, a 151-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2009

Practice location Address checks out

9701 66th Ave
Rego Park, NY 11374-4245
Phone: (718) 423-0808
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 012445 (NY)

Record details

NPI number1255570826
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2009
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mount Sinai School Of Medicine — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rego Park