Organization Active NPI

Dmitry Donsky Physician, PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1275865966
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220763 Issued in NY
Legal business name
DMITRY DONSKY PHYSICIAN, PC
Practice address
453 77TH St
Brooklyn, NY 11209-3205
Phone
(718) 523-8572
Fax
(718) 238-2047
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Dmitry Gregory Donsky, MD
Title
Owner
Phone
(718) 238-5729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 220763 NY Primary

Addresses

Primary practice location

453 77TH St
Brooklyn, NY 11209-3205

Mailing address

453 77TH St
Brooklyn, NY 11209-3205
Phone (718) 523-8572

Other identifiers 1

IdentifierTypeStateIssuer
02155755MedicaidNY

National Provider Directory

National Provider Directory

Locations

6805 4th Ave
Brooklyn, NY 11220
Phone (718) 748-3056

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1275865966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093205",
            "telephone_number": "718-523-8572",
            "fax_number": "718-238-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093205",
            "telephone_number": "718-523-8572",
            "fax_number": "718-238-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRY DONSKY PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "DONSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-238-5729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02155755",
            "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 Feb 4, 2010; 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.