Organization Active NPI

Valentin Avanessov Physician PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1184503088
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
VALENTIN AVANESSOV PHYSICIAN PC
Practice address
3059 Brighton 13TH St
Brooklyn, NY 11235-5607
Phone
(718) 891-7100
Fax
(718) 891-3834
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Valentin Avanessov, MDNPI 1730242025
Title
President
Phone
(718) 891-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

3059 Brighton 13TH St
Brooklyn, NY 11235-5607

Mailing address

3059 Brighton 13TH St
Brooklyn, NY 11235-5607
Phone (718) 891-7100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1184503088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 BRIGHTON 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355607",
            "telephone_number": "718-891-7100",
            "fax_number": "718-891-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 BRIGHTON 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355607",
            "telephone_number": "718-891-7100",
            "fax_number": "718-891-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTIN AVANESSOV PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "AVANESSOV",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-891-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "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 Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.