Active NPI
Maryna Denysova, RPA-C
- Medical Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 011775
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 011775 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | 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
- 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.
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- Dermatopathology (Pathology) Physician
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- NPI 1841531795
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Emergency Medicine Physician
- New York, NY
- NPI 1467605048
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.