NPIMap

Organization Active NPI

Anya Kishinevsky MD LLC

  • Plastic Surgery Physician
  • Darien, CT
National Provider Identifier
1023053709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
043761 Issued in CT
Legal business name
ANYA KISHINEVSKY MD LLC
Practice address
722 Post Rd
Suite 200
Darien, CT 06820-4731
Phone
(203) 656-9999
Fax
(203) 655-0099
NPI assigned
Jun 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anya Kishinevsky, MDNPI 1649220369
Title
President
Phone
(917) 318-2823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 043761 CT Primary

Addresses

Primary practice location

722 Post Rd
Suite 200
Darien, CT 06820-4731

Mailing address

722 Post Rd
Suite 200
Darien, CT 06820-4731
Phone (203) 656-9999

National Provider Directory

National Provider Directory

Locations

722 Post Rd
Ste 200
Darien, CT 06820
Phone (203) 656-9999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023053709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 POST RD",
            "address_2": "SUITE 200",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204731",
            "telephone_number": "203-656-9999",
            "fax_number": "203-655-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 POST RD",
            "address_2": "SUITE 200",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204731",
            "telephone_number": "203-656-9999",
            "fax_number": "203-655-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANYA KISHINEVSKY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISHINEVSKY",
        "authorized_official_first_name": "ANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-318-2823",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "043761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.