Organization Active NPI

Atlantic Anesthesiology PC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1063702777
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ATLANTIC ANESTHESIOLOGY PC
Practice address
2927 Ocean Parkway
Brooklyn, NY 11235
Phone
(646) 410-5393
NPI assigned
Apr 14, 2011
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Boris Tsemikhin
Title
Treasurer
Phone
(718) 222-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

2927 Ocean Parkway
Brooklyn, NY 11235

Mailing address

45 Hunton St
Staten Island, NY 10304-3101

Other identifiers 1

IdentifierTypeStateIssuer
1508885690OtherNYINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318001695 NY Part B Supplier - Clinic/Group Practice 2769650191 Receives reassigned benefits from 10 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

14 DeKalb Ave
Ste 14
Brooklyn, NY 11201

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1063702777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HUNTON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 OCEAN PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "646-410-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ANESTHESIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "TSEMIKHIN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "718-222-5999"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1508885690",
            "state": "NY"
        }
    ],
    "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 Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.