Individual provider Active NPI

Una Sibirceva, MD

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
National Provider Identifier
1174777379
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
257759 Issued in NY
Practice address
2965 Ocean Pkwy Ste 2B
Brooklyn, NY 11235-8048
Phone
(718) 676-0560
Fax
(718) 676-0561
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 257759 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 257759 NY Primary

Addresses

Primary practice location

2965 Ocean Pkwy Ste 2B
Brooklyn, NY 11235-8048

Mailing address

2965 Ocean Pkwy Ste 2B
Brooklyn, NY 11235-8048
Phone (718) 676-0560

Other identifiers 1

IdentifierTypeStateIssuer
03259767MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101215000011 NY Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pain Management 3173710290 Reassigns benefits to 1 organization
I20221121003326 FL Practitioner - Pain Management 3173710290

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care, Pain Management
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2769 Coney Island Ave
Suite 3R
Brooklyn, NY 11235-5051
Phone (718) 676-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Una Sibirceva MD, PC Pain Medicine CurrentSince Aug 1, 2010 Accepting new patients
East Shore Medical PC Internal Medicine Past Accepting new patients
Personal Touch Medical Care, P.C. PastSince Aug 13, 1996 Accepting new patients

Locations

719 Ocean View Ave
Brooklyn, NY 11235
Phone (347) 491-3100

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

2965 Ocean Pkwy
Ste 2B
Brooklyn, NY 11235
Phone (718) 676-0560

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1174777379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 OCEAN PKWY STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358048",
            "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": "2965 OCEAN PKWY STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358048",
            "telephone_number": "718-676-0560",
            "fax_number": "718-676-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBIRCEVA",
        "first_name": "UNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257759",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "257759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03259767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.