Individual provider Active NPI

Maryna Denysova, RPA-C

  • Medical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1114104080
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
011775 Issued in NY
Practice address
3201 Kinghs Highway
Kinghs Highway Division Beth Israel Medical Center
Brooklyn, NY 11234
Phone
(718) 951-2901
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011775 NY Primary

Addresses

Primary practice location

3201 Kinghs Highway
Kinghs Highway Division Beth Israel Medical Center
Brooklyn, NY 11234

Mailing address

8893 19TH Ave
Brooklyn, NY 11214-6008
Phone (917) 353-8757

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000167 NY Practitioner - Physician Assistant 5698833507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011775NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Sep 1, 2014 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 5, 2012 Accepting new patients
Park Lenox Emergency Medicine, PC Past Accepting new patients

Locations

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: mdenysova69402@northwell.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1114104080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8893 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146008",
            "telephone_number": "917-353-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 KINGHS HIGHWAY",
            "address_2": "KINGHS HIGHWAY DIVISION BETH ISRAEL MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-951-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENYSOVA",
        "first_name": "MARYNA",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.