Dmitry Borisovich Aniskin, MD

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

259966 Issued in NY

Practice address

104 Emerson PL
1
Brooklyn, NY 11205-2604

Phone

(646) 379-8047

Fax

(212) 420-2181

NPI assigned

Sep 3, 2008

Last updated

Jul 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: daniskin68147@northwell.direct-ci.com

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.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Physicians of University Hospital, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Staten Island, NY
  • NPI 1417901323

  Psychiatry

  Medicare reassignment NPD
• Physicians of University Hospital, PC

  • Anesthesiology Physician
  • Bay Shore, NY
  • NPI 1023513116
  NPD
• Beth Israel Medical Center

  • Cognitive & Behavioral Psychologist
  • New York, NY
  • NPI 1275624199
  NPD (past)
• Beth Israel Medical Center Psychiatry & Behavioral Science

  • Cognitive & Behavioral Psychologist
  • New York, NY
  • NPI 1477582476
  NPD (past)
• Bimc Faculty Practice

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
  • NPI 1093906828
  NPD (past)
• Bimc FPP- Family Center for Bipolar Disorder

  • Specialist
  • New York, NY
  • NPI 1871875500
  NPD (past)
• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  NPD (past)
• Staten Island University Hospital

  • Psychiatric Hospital Unit
  • Staten Island, NY
  • NPI 1912925199
  NPD (past)

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

• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1063660017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EMERSON PL",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052604",
            "telephone_number": "646-379-8047",
            "fax_number": "212-420-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 EMERSON PL",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052604",
            "telephone_number": "646-379-8047",
            "fax_number": "212-420-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANISKIN",
        "first_name": "DMITRY",
        "middle_name": "BORISOVICH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "259966",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "259966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03063247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anise Health, P.a.
• Goldie Rivka Anisfeld
• Anish Desai Internal Medicine PLLC
• Manu Anish, MD
• Sofiya Anisimova, RN
• Parvathy Anitha Rajeev
• Modupeoluwa Aniyikaye
• Abeeda Anjum, MD
• Basherri Anjum, MD
• Naheed Anjum, MD

• Addiction Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Addiction Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.