Individual provider Active NPI

Mark Kovalevskiy, M.D

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1255353181
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
233344 Issued in NY
Practice address
105 Kings Hwy Apt 4B
Brooklyn, NY 11214-1562
Phone
(347) 254-6676
Fax
(347) 254-6676
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 233344 NY Primary

Addresses

Primary practice location

105 Kings Hwy Apt 4B
Brooklyn, NY 11214-1562

Mailing address

PO Box 1147
New York, NY 10040-0815
Phone (347) 254-6676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holdings,LLC Past Accepting new patients
River East Anesthesia Practice, PC Past Accepting new patients
A&I Medical P.C. PastSince Oct 30, 2007 Accepting new patients

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1255353181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100400815",
            "telephone_number": "347-254-6676",
            "fax_number": "347-254-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KINGS HWY APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141562",
            "telephone_number": "347-254-6676",
            "fax_number": "347-254-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALEVSKIY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "233344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.