Active NPI
Dmitry Zhukovski, D.O.
- Family Medicine Physician
- Hallandale Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS18656
- Practice address
- 2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838 - Phone
- (786) 733-1066
- Fax
- (786) 839-3258
- NPI assigned
- Aug 30, 2005
- Reactivated
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS18656 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 232986 | NY |
Addresses
Primary practice location
2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838
Mailing address
4766B Bedford Ave
Brooklyn, NY 11235-2606
Phone (718) 676-0404
Other practice location 1
4766B Bedford Ave
Brooklyn, NY 11235-2606
Phone (718) 676-0404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02385046 | Medicaid | NY | |
| 113967000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
2500 E Hallandale Beach Blvd
Suite 505
Hallandale Beach, FL 33009-4838
Phone (917) 256-9127
4766 -B Bedford Ave
Brooklyn, NY 11235-2606
Phone (917) 617-3830
7015 Beracasa Way
Boca Raton, FL 33433-3453
Phone (561) 939-2033
Hospital & facility affiliations
- Professional Home Health Services LLC
- Professional Home Health Services LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232986 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Care Family Medicine Corp | Single Specialty | Current | Accepting new patients |
| Broward Medical Consultants LLC | Single Specialty | Current | Accepting new patients |
| Suny Downstate Medical Center | Past | Accepting new patients | |
| Executive Medical Care,P.C. | Single Specialty | Past | Accepting new patients |
| Brooklyn Family Medical Care | Single Specialty | Past | Accepting new patients |
| Akh Medical PC | Single Specialty | Past | Accepting new patients |
| Prominis Medical Services PC | Single Specialty | Past | Accepting new patients |
| Jal 28 LLC | Single Specialty | Past | Accepting new patients |
| Oleg Karpenko Podiatry P.C. | Single Specialty | Past | Accepting new patients |
Locations
2500 E Hallandale Beach Blvd
Ste 505
Hallandale Beach, FL 33009
Phone (305) 909-6325
1920 E Hallandale Beach Blvd
Ste 901
Hallandale Beach, FL 33009
Phone (954) 204-0054
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Hallandale Beach, FL
- NPI 1659001741
Single Specialty
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1518159532
-
- Health Service Clinic/Center
- Hallandale Beach, FL
- NPI 1447010632
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Brooklyn, NY
- NPI 1740566140
Single Specialty
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1841323771
Single Specialty
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- North Miami Beach, FL
- NPI 1104470228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1295728731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4766B BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352606",
"telephone_number": "718-676-0404",
"fax_number": "347-462-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E HALLANDALE BEACH BLVD STE 505",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094838",
"telephone_number": "786-733-1066",
"fax_number": "786-839-3258"
}
],
"practiceLocations": [
{
"address_1": "4766B Bedford Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112352606",
"country_code": "US",
"telephone_number": "718-676-0404",
"fax_number": "347-462-1280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHUKOVSKI",
"first_name": "DMITRY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS18656",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "232986",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02385046",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113967000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.