Individual provider Active NPI

Semyon Elyash

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1003853466
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
745 Ocean Pkwy
Brooklyn, NY 11230-1113
Phone
(718) 677-9700
Fax
(718) 859-5969
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

745 Ocean Pkwy
Brooklyn, NY 11230-1113

Mailing address

745 Ocean Pkwy
Brooklyn, NY 11230-1113
Phone (718) 677-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Medical Diagnostics P.C. CurrentSince Feb 1, 2004 Accepting new patients

Locations

745 Ocean Pkwy
Brooklyn, NY 11230
Phone (718) 677-8700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1003853466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113",
            "telephone_number": "718-677-9700",
            "fax_number": "718-859-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113",
            "telephone_number": "718-677-9700",
            "fax_number": "718-859-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYASH",
        "first_name": "SEMYON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.