Aleksandr Kravtsov Medical, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ALEKSANDR KRAVTSOV MEDICAL, PC

Practice address

9707 3Rd Ave
Brooklyn, NY 11209

Phone

(917) 459-0063

NPI assigned

Apr 22, 2021

Reactivated

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Aleksandr Kravtsov, MDNPI 1326215542

Title

Owner

Phone

(917) 459-0063

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aleksandr Kravtsov, M.D., D.O.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1326215542
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1114509924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "917-459-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "917-459-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSANDR KRAVTSOV MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "deactivation_date": "2021-07-22",
        "reactivation_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "KRAVTSOV",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-459-0063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBSTETRICS AND GYNECOLOTY",
            "identifier": "1326215542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Alejandro, CDN
• Gabriela J Alejandro, CRNA
• Paul Anthony Alejandro
• Olga Alekberov, OD
• Aleksandr Ilyayev Medical PC
• Aleksandr Livshits Medical, PC
• Aleksandr Medical PC
• Aleksandr Zasypkin,M.D.P.C.
• Viktoriya Aleksandrovich, MD
• Anna Aleksandrovskaya

• Obstetrics & Gynecology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.