Konstantin Vasyukevich, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

243176 Issued in NY

Practice address

59 E 79TH St
FL 1
New York, NY 10075-0258

Phone

(212) 380-3634

NPI assigned

Feb 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: kvasyukevich840712@nychhc.direct-ci.com

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.

• Icahn School of Medicine at Mount Sinai

  • Nephrology Physician
  • New York, NY
  • NPI 1144581182
  NPD (past)
• Icahn School of Medicine at Mount Sinai

  • Specialty Pharmacy
  • New York, NY
  • NPI 1629410816
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1124154273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E 79TH ST",
            "address_2": "FLOOR 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750258",
            "telephone_number": "212-380-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E 79TH ST",
            "address_2": "FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750258",
            "telephone_number": "212-380-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASYUKEVICH",
        "first_name": "KONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "243176",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "243176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anasuya Vasudevan, MD
• Vasuli Inc
• Tanya Percy Vasunia
• Maria Antonia Vasylak, LCSW
• Oksana Vasylyeva
• Abe Joseph Vatakencherry, MD
• Nick G. Vatakis, M.D.
• Tessa Claire Vatalaro, LMSW
• Amy Pei Yun Vatanapradit, ACNP
• Igor Vatelman, LAC.,LMT

• Facial Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Facial Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.