NPIMap

Organization Active NPI

Paramount Anesthesia Practice PC

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1275783789
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
233344 Issued in NY
Legal business name
PARAMOUNT ANESTHESIA PRACTICE PC
Practice address
1773 E 19TH St # 1C
Brooklyn, NY 11229-2245
Phone
(914) 886-8403
Fax
(347) 254-6676
NPI assigned
Sep 22, 2008
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. Mark Kovalevskiy, M.D.
Title
Owner
Phone
(914) 886-8403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 233344 NY Primary

Addresses

Primary practice location

1773 E 19TH St # 1C
Brooklyn, NY 11229-2245

Mailing address

105 Kings Hwy Apt 4B
Brooklyn, NY 11214-1562
Phone (914) 886-8403

National Provider Directory

National Provider Directory

Locations

3559 84th St
Jackson Heights, NY 11372
Phone (347) 541-6241

Practitioners & affiliated clinicians

Practitioners 8

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": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1275783789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KINGS HWY APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141562",
            "telephone_number": "914-886-8403",
            "fax_number": "347-254-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 E 19TH ST # 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292245",
            "telephone_number": "914-886-8403",
            "fax_number": "347-254-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT ANESTHESIA PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "KOVALEVSKIY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-886-8403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "233344",
            "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 Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.