Active NPI
Renata Khelemsky, MD
- Facial Plastic Surgery Physician
- Brooklyn, NY
National Provider Identifier
1225473267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 292736
- Practice address
- 58 Prospect St
Brooklyn, NY 11201-3282 - Phone
- (646) 558-3757
- NPI assigned
- May 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 292736 | NY | |
| Facial Plastic Surgery Physician | 207YS0123X | 292736 | NY | Primary |
Addresses
Primary practice location
58 Prospect St
Brooklyn, NY 11201-3282
Mailing address
58 Prospect St
Brooklyn, NY 11201-3282
Phone (646) 558-3757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292736 | NY | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1225473267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PROSPECT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013282",
"telephone_number": "646-558-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PROSPECT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013282",
"telephone_number": "646-558-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHELEMSKY",
"first_name": "RENATA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NY",
"license": "292736",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "292736",
"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 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.