Individual provider Active NPI

Dmitry V Shmerkovich, DO

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1043486285
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
258729 Issued in NY
Practice address
2711 Avenue X Apt 3E
Brooklyn, NY 11235-2028
Phone
(646) 641-8292
Fax
(847) 656-2324
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 258729 NY Primary

Addresses

Primary practice location

2711 Avenue X Apt 3E
Brooklyn, NY 11235-2028

Mailing address

2711 Avenue X Apt 3E
Medical Staff Office T14
Brooklyn, NY 11235-2028
Phone (646) 641-8292

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
I20111006000136 NY Practitioner - NeurologyPractitioner - Psychiatry 1254503709 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Midwestern University College of Dental Medicine, Glendale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Queens Medicine and Surgery, P.C.Group PAC ID 4082883673, 401 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

1402 150TH St
Whitestone, NY 11357-1764
Phone (718) 353-8933

16303 Horace Harding Expy
Fresh Meadows, NY 11365-1449

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

55 Green St
Brooklyn, NY 11222-5831
Phone (646) 641-8292

5620 Main St
Flushing, NY 11355-5046
Phone (718) 670-1837

5626 Main St
Flushing, NY 11355-5046
Phone (718) 670-1185

5634 Main St
Flushing, NY 11355-5046
Phone (718) 670-2468

Hospital & facility affiliations

  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196
  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258729NYMDNeurology Physician

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. General Practice CurrentSince Sep 18, 2014 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
New York Comprehensive Neurology PC Neurology CurrentSince Jul 28, 2013 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Dec 31, 2013 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Dec 31, 2013 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 8, 2013 Accepting new patients
Premier Healthcare, Inc. CurrentSince Nov 8, 2013 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

55 Greene Ave
Brooklyn, NY 11238
Phone (718) 789-5900

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Networks

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

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043486285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 AVENUE X APT 3E",
            "address_2": "MEDICAL STAFF OFFICE T14",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352028",
            "telephone_number": "646-641-8292",
            "fax_number": "847-656-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 AVENUE X APT 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352028",
            "telephone_number": "646-641-8292",
            "fax_number": "847-656-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHMERKOVICH",
        "first_name": "DMITRY",
        "middle_name": "V",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "258729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.