Organization Active NPI

Dmitry K. Nesen, M.D.,L.L.C.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1023326006
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
220676 Issued in NY
Legal business name
DMITRY K. NESEN, M.D.,L.L.C.
Practice address
1420 York Ave
Suite # 1-a
New York, NY 10021-3149
Phone
(212) 249-2574
Fax
(212) 289-2579
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Dmitry K. Nesen, M.D.NPI 1295886612
Title
Owner
Phone
(212) 249-2574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 220676 NY Primary

Addresses

Primary practice location

1420 York Ave
Suite # 1-a
New York, NY 10021-3149

Mailing address

1420 York Ave
Suite # 1-a
New York, NY 10021-3149
Phone (212) 249-2574

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1023326006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 YORK AVE",
            "address_2": "SUITE # 1-A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213149",
            "telephone_number": "212-249-2574",
            "fax_number": "212-289-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 YORK AVE",
            "address_2": "SUITE # 1-A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213149",
            "telephone_number": "212-249-2574",
            "fax_number": "212-289-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRY K. NESEN, M.D.,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "NESEN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-249-2574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "220676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.