Guerman Ermolenko, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

214765 Issued in NY

Practice address

11 New Karner Rd
#627
Guilderland, NY 12084-6200

Phone

(518) 229-0807

Fax

(866) 465-2338

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Capital Region Geriatric Center, Inc.Group PAC ID 8123091493, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: germolenko24320@albanymed.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Region Geriatric Center, Inc.

  • Skilled Nursing Facility
  • Cohoes, NY
  • NPI 1306885066

  NY

  Medicare reassignment Care Compare group NPD
• Daughters of Sarah Nursing Center, Inc.

  • Skilled Nursing Facility
  • Albany, NY
  • NPI 1194754366

  NY

  Medicare reassignment NPD
• Heritage House Nursing Center, Inc

  • Skilled Nursing Facility
  • Troy, NY
  • NPI 1356395909

  NY

  Medicare reassignment NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1275962011

  NY

  Medicare reassignment NPD
• Rensselaer County Bureau of Finance

  • Mental Health Counselor
  • Troy, NY
  • NPI 1932130358

  NY

  Medicare reassignment NPD
• Teresian House Nursing Home Co Inc

  • Skilled Nursing Facility
  • Albany, NY
  • NPI 1578550653

  NY

  Medicare reassignment NPD
• The James a. Eddy Memorial Geriatric Center, Inc.

  • Skilled Nursing Facility
  • Troy, NY
  • NPI 1609820265

  NY

  Medicare reassignment NPD
• Albany County

  • Skilled Nursing Facility
  • Albany, NY
  • NPI 1952309536

  NY

  Medicare reassignment
• Beverwyck, Inc

  • Skilled Nursing Facility
  • Slingerlands, NY
  • NPI 1619282704

  NY

  Medicare reassignment
• Baptist Health Nursing and Rehabilitation Center Inc

  • Skilled Nursing Facility
  • Scotia, NY
  • NPI 1689662157
  NPD
• Capital Region Geriatric Center, Inc.

  • General Acute Care Hospital
  • Cohoes, NY
  • NPI 1245287168
  NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1700215886
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1003828039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NEW KARNER RD",
            "address_2": "#627",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120846200",
            "telephone_number": "518-229-0807",
            "fax_number": "866-465-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEW KARNER RD",
            "address_2": "#627",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120846200",
            "telephone_number": "518-229-0807",
            "fax_number": "866-465-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMOLENKO",
        "first_name": "GUERMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "214765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS MEDICARE PIN",
            "identifier": "J400003470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J Donovan, LMHC
• Anika Stephanie Dottin-Wilson, LCSW
• Jane Capria Downey, CCC-SLP
• Daniel Mark Dzembo, MSW LCSW R
• Aya Elshorbagy
• Elaine Ernst, LMHC
• Christine Ewart
• Rosanne Mary Ferguson
• Megan M Fields
• Melissa Marie Fiorini, MD

• Geriatric Psychiatry Physician in Guilderland, NY
• Providers in Guilderland, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.