Organization Active NPI

Ocean Renal Care PC

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1265570402
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
210753 Issued in NY
Legal business name
OCEAN RENAL CARE PC
Practice address
40 West Brighton Ave
103
Brooklyn, NY 11224-4901
Phone
(718) 996-2230
NPI assigned
Feb 1, 2007
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Marie Bentsianov, MDNPI 1285631101
Title
Owner
Phone
(718) 996-3360

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
Nephrology Physician 207RN0300X 210753 NY Primary

Addresses

Primary practice location

40 West Brighton Ave
103
Brooklyn, NY 11224-4901

Mailing address

40 W Brighton Ave
103
Brooklyn, NY 11224-4902
Phone (718) 996-2260

Other identifiers 1

IdentifierTypeStateIssuer
DE5308OtherNYRAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090604000456 NY Part B Supplier - Clinic/Group Practice 2668379512 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1025250Ocean Renal Care, PC40 West Brighton Avenue, Brooklyn, NY 11224Provider-performed microscopyMay 3, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1265570402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W BRIGHTON AVE",
            "address_2": "103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244902",
            "telephone_number": "718-996-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WEST BRIGHTON AVE",
            "address_2": "103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244901",
            "telephone_number": "718-996-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN RENAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "BENTSIANOV",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-996-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "210753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DE5308",
            "state": "NY"
        }
    ],
    "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 Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.