Individual provider Active NPI

Mikhail Plotnitskiy, D.O.

  • Obstetrics & Gynecology Physician
  • Valley Stream, NY
National Provider Identifier
1023208550
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
245179-1 Issued in NY
Practice address
85 E Merrick Rd
Valley Stream, NY 11580-5984
Phone
(516) 431-1919
Fax
(516) 431-8642
NPI assigned
Jul 31, 2007
Last updated
Jul 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 245179-1 NY Primary
Obstetrics & Gynecology Physician 207V00000X 20A 10142 CA

Addresses

Primary practice location

85 E Merrick Rd
Valley Stream, NY 11580-5984

Mailing address

85 E Merrick Rd
Valley Stream, NY 11580-5984
Phone (516) 431-1919

Other identifiers 1

IdentifierTypeStateIssuer
02900241MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071009000916 NY Practitioner - Obstetrics/Gynecology 3779679584 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A 10142CAMDObstetrics & Gynecology Physician
245179-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mikhail Plotnitskiy, D.O., P.C. Obstetrics & Gynecology CurrentSince Dec 11, 2009 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Obstetrics & Gynecology CurrentSince Oct 23, 2025 Accepting new patients
Mercy Medical Center Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Locations

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

2900 Hempstead Tpke
Ste 203
Levittown, NY 11756
Phone (516) 227-3333

440 E Bay Dr
Long Beach, NY 11561
Phone (516) 632-4141

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

2 Lincoln Ave
Ste 400
Rockville Ctr, NY 11570
Phone (516) 536-1212

85 E Merrick Rd
Valley Stream, NY 11580
Phone (516) 431-1919

85 E Merrick Rd
Ste C
Valley Stream, NY 11580

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1023208550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805984",
            "telephone_number": "516-431-1919",
            "fax_number": "516-431-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805984",
            "telephone_number": "516-431-1919",
            "fax_number": "516-431-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTNITSKIY",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "245179-1",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A 10142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02900241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.