Organization Active NPI

Viktor Gribenko MD PC

  • Rehabilitation Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1053502724
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
211122 Issued in NY
Legal business name
VIKTOR GRIBENKO MD PC
Practice address
170 Avenue S
Brooklyn, NY 11223-2633
Phone
(718) 946-7967
Fax
(718) 946-7964
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Viktor Gribenko, MDNPI 1659471944
Title
President
Phone
(718) 946-7967

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
Rehabilitation Clinic/Center 261QR0400X 211122 NY Primary

Addresses

Primary practice location

170 Avenue S
Brooklyn, NY 11223-2633

Mailing address

170 Avenue S
Brooklyn, NY 11223-2633
Phone (718) 946-7967

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1053502724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232633",
            "telephone_number": "718-946-7967",
            "fax_number": "718-946-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232633",
            "telephone_number": "718-946-7967",
            "fax_number": "718-946-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKTOR GRIBENKO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "GRIBENKO",
        "authorized_official_first_name": "VIKTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-946-7967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "211122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.