Dmitry Konstantinovich Nesen, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

220676 Issued in NY

Practice address

1420 York Ave Apt 1a
New York, NY 10021-3150

Phone

(212) 289-2571

Fax

(212) 289-2579

NPI assigned

Jan 13, 2007

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

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

Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dmitry K. Nesen, M.D.,L.L.C.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1023326006
  NPD (past) Authorized official

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1295886612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LEATHERSTOCKING LN",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 YORK AVE APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213150",
            "telephone_number": "212-289-2571",
            "fax_number": "212-289-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESEN",
        "first_name": "DMITRY",
        "middle_name": "KONSTANTINOVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "220676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Gloria Nesbitt
• Kevin Nesbitt
• Michelle Nesbitt, CASACT
• Pamela Ludlow Nesbitt, ED.M.
• Martin Neschis, M.D.
• Kaitlin Nesensohn
• Laith Nesheiwat, MD
• Nora Nesheiwat, MS, CGC
• Natasha Katarina Nesic, NASM CES
• Christie Nesifort, FNP

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.