Active NPI
Dmitry Skripnikov, M.S.
- Specialist
- Brooklyn, NY
National Provider Identifier
1144570631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 653099
- Practice address
- 2625 East 14TH Street
Brooklyn, NY 11235 - Phone
- (718) 769-2698
- NPI assigned
- Sep 12, 2012
- Last updated
- Sep 12, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 653099 | NY | Primary |
Addresses
Primary practice location
2625 East 14TH Street
Brooklyn, NY 11235
Mailing address
134 Admiralty Loop
Staten Island, NY 10309
Phone (718) 948-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653099 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avanti We Go Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Staten Island, NY
- NPI 1821399148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1144570631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 ADMIRALTY LOOP",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10309",
"telephone_number": "718-948-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 EAST 14TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-769-2698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKRIPNIKOV",
"first_name": "DMITRY",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "653099",
"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 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.