Organization Active NPI

Una Sibirceva MD, PC

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
National Provider Identifier
1154631562
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
257759 Issued in NY
Legal business name
UNA SIBIRCEVA MD, PC
Practice address
1605 Voorhies Ave
Suite 5
Brooklyn, NY 11235-3900
Phone
(718) 676-0560
Fax
(718) 676-0561
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mr. Stan Gorshkov
Title
Office Manadger
Phone
(718) 676-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 257759 NY Primary

Addresses

Primary practice location

1605 Voorhies Ave
Suite 5
Brooklyn, NY 11235-3900

Mailing address

1605 Voorhies Ave
Suite 5
Brooklyn, NY 11235-3900
Phone (718) 676-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101215000005 NY Part B Supplier - Clinic/Group Practice 2264629385 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1605 Voorhies Ave
Ste 5
Brooklyn, NY 11235
Phone (718) 646-0131

2769 Coney Island Ave
Ste 3R
Brooklyn, NY 11235
Phone (718) 676-0560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1154631562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 VOORHIES AVE",
            "address_2": "SUITE 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353900",
            "telephone_number": "718-676-0560",
            "fax_number": "718-676-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 VOORHIES AVE",
            "address_2": "SUITE 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353900",
            "telephone_number": "718-676-0560",
            "fax_number": "718-676-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNA SIBIRCEVA MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "GORSHKOV",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "OFFICE MANADGER",
        "authorized_official_telephone_number": "718-676-0560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "257759",
            "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 Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.