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

Rena Khanukayeva

Individual provider Family Medicine Physician · NPI 1255358164

Rena Khanukayeva is a Family Practice in Staten Island, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1997, 29 years ago. Practices with Rena Khanukayeva DO, PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
29
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

34 Dumont Ave
Staten Island, NY 10305-1450
Phone: (718) 980-3232
Fax: (718) 980-3233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 212257 (NY)

Record details

NPI number1255358164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2006
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1997 (29 years in practice)
Group practice Rena Khanukayeva D.O.,P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Staten Island