Individual provider Active NPI

Yekatrina Fill Slukhinsky

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1225005085
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
167572 Issued in NY
Practice address
1659 78TH St
Suite 2D
Brooklyn, NY 11214-1011
Phone
(718) 232-0248
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 167572 NY Primary

Addresses

Primary practice location

1659 78TH St
Suite 2D
Brooklyn, NY 11214-1011

Mailing address

1659 78TH St
Suite 2D
Brooklyn, NY 11214-1011

Other identifiers 1

IdentifierTypeStateIssuer
01020846MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000124 NY Practitioner - Pain Management 3678760907 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1659
78STR Suite 2D
Brooklyn, NY 11214-1011

1659 78TH St
Brooklyn, NY 11214-1011
Phone (718) 232-0248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Y Fill Slukhinsky Specialist PastSince Aug 21, 1986 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1225005085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 78TH ST",
            "address_2": "SUITE 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 78TH ST",
            "address_2": "SUITE 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141011",
            "telephone_number": "718-232-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUKHINSKY",
        "first_name": "YEKATRINA",
        "middle_name": "FILL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "167572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01020846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.