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

Individual provider Family Nurse Practitioner · NPI 1487265922

Mr. Ofer Haidatov, FNP is a Nurse Practitioner in Oakland Gardens, New York. Qualified in 2020, 6 years ago. Practices with Pain Physicians Ny PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

7536 Bell Blvd Apt 6B
Oakland Gardens, NY 11364-3434
Phone: (646) 898-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 346340 (NY)

Record details

NPI number1487265922
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 10, 2020
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pain Physicians Ny Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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