DK Total Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DK TOTAL MEDICAL PC

Practice address

9530 Queens Blvd
Rego Park, NY 11374-1136

Phone

(718) 275-7860

Fax

(718) 275-7882

NPI assigned

Aug 2, 2006

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pavel Yutsis, MD

Title

Medical Director

Phone

(718) 275-7860

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Dmitriy V Kolesnik, MD

  • Neurology Physician
  • Rego Park, NY
  • NPI 1851326367
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1205843349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741136",
            "telephone_number": "718-275-7860",
            "fax_number": "718-275-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741136",
            "telephone_number": "718-275-7860",
            "fax_number": "718-275-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DK TOTAL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "YUTSIS",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-275-7860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02368849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dilip S. Doctor, MD PC
• Marialaina Dinunno
• Myrna D Diptee, MSW, LCSW
• Direct Family Care, Inc. (Cdpap Marks Home Care)
• Laxmidhar Diwan, MD
• DME Pro USA Inc
• Dmitriy Yadgarov
• Richard Michael Dobbins, LCSW
• Lisa Dobro
• Dilip S Doctor, M.D

• Family Medicine Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.