Leonid G Zolotnitskiy MD PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEONID G ZOLOTNITSKIY MD PC

Practice address

1853 Commonwealth Ave Ste 1
Brighton, MA 02135-5498

Phone

(617) 378-1344

Fax

(617) 699-0416

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Anna Malysheva

Title

Consultant

Phone

(617) 650-0027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonid Grigorievich Zolotnitskiy, MD

  • Psychiatry Physician
  • Bridgewater, MA
  • NPI 1528174398
  Medicare reassignment NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1013524917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROSEMARY WAY APT 312",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941222",
            "telephone_number": "617-378-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 COMMONWEALTH AVE STE 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355498",
            "telephone_number": "617-378-1344",
            "fax_number": "617-699-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONID G ZOLOTNITSKIY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MALYSHEVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "617-650-0027",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lee, CPNP-PC
• Matthew T Lemaitre, M.D.
• Rebecca Lember, M.S., CCC-SLP
• Yuliana Leon
• Alexandra Leonard, LCSW
• Leonid Kotkin, M.D., P.C.
• Stacey A Lerager, NP
• Mariam Lesko
• John Leso, DO
• Edwin Leung, LCSW

• Community/Behavioral Health Agency in Brighton, MA
• Providers in Brighton, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.