Active NPI
Dmitriy Khelemskiy, L.AC
- Acupuncturist
- Ozone Park, NY
National Provider Identifier
1043544166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 4012
- Practice address
- 10520 Crossbay Blvd
Ozone Park, NY 11417-1515 - Phone
- (718) 641-6561
- NPI assigned
- Sep 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 4012 | NY | Primary |
Addresses
Primary practice location
10520 Crossbay Blvd
Ozone Park, NY 11417-1515
Mailing address
915 84 Street, Apt 3a
Brooklyn, NY 11228
Phone (718) 833-2036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4012 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DK Acupuncture&Massage Therapy P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Ozone Park, NY
- NPI 1811305899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1043544166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 84 STREET, APT 3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11228",
"telephone_number": "718-833-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 CROSSBAY BLVD",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114171515",
"telephone_number": "718-641-6561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHELEMSKIY",
"first_name": "DMITRIY",
"name_prefix": "Mr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "4012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.