Individual provider Active NPI

Dmitry Olshansky, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1073959458
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
294438 Issued in NY
Practice address
365 Flatbush Ave
Brooklyn, NY 11238
Phone
(347) 871-9485
NPI assigned
May 13, 2013
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 294438 NY Primary

Addresses

Primary practice location

365 Flatbush Ave
Brooklyn, NY 11238

Mailing address

365 Flatbush Ave
Brooklyn, NY 11238-4301
Phone (347) 871-9485

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
I20181115001437 NY Practitioner - Family Practice 5395099071 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 1850514258, 29 clinicians

Practice addresses (Care Compare)

300 Cadman Plaza W
Brooklyn, NY 11201-3229
Phone (929) 210-6000

638 Columbus Ave
New York, NY 10024-1406
Phone (212) 828-3250

Mount Sinai School of Medicine
100 Street and Madison Avenue
New York, NY 10029
Phone (212) 241-6500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 9, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Mar 15, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Jul 9, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 15, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine Past Accepting new patients

Locations

300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

Networks

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

Interoperability endpoints

  • Direct secure messaging: dmitry.olshansky@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: dmitryolshansky@mai.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1073959458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384301",
            "telephone_number": "347-871-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "347-871-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSHANSKY",
        "first_name": "DMITRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "294438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.