NPIMap

Individual provider Active NPI

Maria Dolgovina, MD

  • Neurology Physician
  • Forest Hills, NY
National Provider Identifier
1316107147
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
261794 Issued in NY
Practice address
10124 Queens Blvd Ste a
Forest Hills, NY 11375-2779
Phone
(718) 261-8881
Fax
(718) 261-8889
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 261794 NY Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 261794 NY

Addresses

Primary practice location

10124 Queens Blvd Ste a
Forest Hills, NY 11375-2779

Mailing address

10124 Queens Blvd Ste a
Forest Hills, NY 11375-2779
Phone (718) 261-8881

Other identifiers 1

IdentifierTypeStateIssuer
261794OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120518000322 NY Practitioner - NeurologyPractitioner - Sleep Medicine 5698938231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Medical Care PLLCGroup PAC ID 1052202744, 8 clinicians

Practice addresses (Care Compare)

10124 Queens Blvd
Suite a
Forest Hills, NY 11375-2703
Phone (718) 261-8881

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.36
Improvement activities
40
Cost
80.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Care Neurology CurrentSince Oct 2, 2018 Accepting new patients
Advanced Medical Care PLLC Neurology CurrentSince Oct 2, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 5, 2015 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 5, 2015 Accepting new patients
E & a Medical Solutions LLC PastSince Jan 12, 2015 Accepting new patients

Locations

1725 E 12th St
Ste 501
Brooklyn, NY 11229
Phone (718) 261-8881

1117 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 998-9900

1117 Brighton Beach Ave
Fl 2
Brooklyn, NY 11235
Phone (718) 998-9900

10124 Queens Blvd
Ste A
Forest Hills, NY 11375
Phone (718) 261-8881

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1316107147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10124 QUEENS BLVD STE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752779",
            "telephone_number": "718-261-8881",
            "fax_number": "718-261-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10124 QUEENS BLVD STE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752779",
            "telephone_number": "718-261-8881",
            "fax_number": "718-261-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLGOVINA",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "261794",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NY",
            "license": "261794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "261794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.