Boris Serebryansky, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200321 Issued in NY

Practice address

91A Carman Ave
Cedarhurst, NY 11516-1904

Phone

(516) 569-1617

Fax

(516) 569-3057

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Boris Serebryansky MD PC

  • Internal Medicine Physician
  • Cedarhurst, NY
  • NPI 1588909584
  Medicare reassignment NPD Authorized official
• Neurology Practice of Ny PC

  • Neurology Physician
  • Carle Place, NY
  • NPI 1568730703
  NPD (past)
• South Beach Medical PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1699872499
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1275586182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91A CARMAN AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161904",
            "telephone_number": "516-569-1617",
            "fax_number": "516-569-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91A CARMAN AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161904",
            "telephone_number": "516-569-1617",
            "fax_number": "516-569-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREBRYANSKY",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01608988",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Elana Schwartz I, M.S. CCC-SLP
• Dana Schwartzstein
• Shari Seewald, M.S.ED.
• Sara Seplowitz, PSY.D.
• Aliza Septimus, PSYD
• Sergio Sokol M.D.,F.a.C.C.,P.C.
• Richard Charles Sevetar, DPM
• Dana M Sharabi, M.S.
• Cheryl Sheinman
• Ariel Sherry, MHC-LP

• Internal Medicine Physician in Cedarhurst, NY
• Providers in Cedarhurst, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.