Organization Active NPI

Yefim Ornstein M. D. P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1275602203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218164 Issued in NY
Legal business name
YEFIM ORNSTEIN M. D. P.C.
Practice address
2072 Ocean Ave
Suite 102
Brooklyn, NY 11230-7379
Phone
(718) 376-2727
Fax
(718) 336-4343
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yefim Ornsyein, M.D.
Title
President
Phone
(718) 376-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 218164 NY Primary

Addresses

Primary practice location

2072 Ocean Ave
Suite 102
Brooklyn, NY 11230-7379

Mailing address

124 Bay 31St St
Brooklyn, NY 11214-5204
Phone (718) 376-2727

Other identifiers 1

IdentifierTypeStateIssuer
02119166MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061129000281 NY Part B Supplier - Clinic/Group Practice 6800894841 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275602203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BAY 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145204",
            "telephone_number": "718-376-2727",
            "fax_number": "718-336-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 OCEAN AVE",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307379",
            "telephone_number": "718-376-2727",
            "fax_number": "718-336-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEFIM ORNSTEIN M. D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORNSYEIN",
        "authorized_official_first_name": "YEFIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-376-2727",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02119166",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.