Individual provider Active NPI

Grigoriy Mashkevich, M.D.

  • Facial Plastic Surgery Physician
  • Forest Hills, NY
National Provider Identifier
1346398690
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
236999 Issued in NY
Practice address
10812 72ND Ave Ste 3
Forest Hills, NY 11375-7080
Phone
(718) 544-9300
Fax
(718) 544-9301
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A98950 CA
Facial Plastic Surgery Physician 207YS0123X 236999 NY Primary

Addresses

Primary practice location

10812 72ND Ave Ste 3
Forest Hills, NY 11375-7080

Mailing address

PO Box 2625
New York, NY 10009-8925
Phone (718) 544-9300

Other identifiers 1

IdentifierTypeStateIssuer
00A989500OtherCAMEDI-CAL PPIN#

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080703000569 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2466557699 Reassigns benefits to 5 organizations
Practice locations: New York, NY; Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Dermatology, PCGroup PAC ID 8022021732, 40 clinicians
Tatiana Khrom MD PCGroup PAC ID 1557368859, 10 clinicians

Practice addresses (Care Compare)

155 White Plains Rd
Suite 109
Tarrytown, NY 10591-5563
Phone (914) 829-8200

2797 Ocean Pkwy
Suite 3
Brooklyn, NY 11235-7868
Phone (718) 615-4000

40 Hurley Ave
Suite 3
Kingston, NY 12401-3738
Phone (845) 338-3200

969 Main St
Suite D
Fishkill, NY 12524-1791
Phone (845) 896-7730

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as group
Quality
78.14
Promoting interoperability
59
Improvement activities
40
Cost
79.44

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
96.13
Promoting interoperability
100
Improvement activities
40
Cost
79.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98950CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grigoriy Mashkevich MD PC Current Accepting new patients
Tatiana Khrom, M.D., P.C. CurrentSince Dec 18, 2023 Accepting new patients
Atlantic Gastroenterology, P.C. CurrentSince Aug 25, 2024 Accepting new patients
Hudson Dermatology, PC CurrentSince Apr 4, 2011 Accepting new patients
Mo-Ma Medical PLLC Otolaryngology CurrentSince Feb 13, 2023 Accepting new patients
Vanguard Dermatology CurrentSince Mar 1, 2016 Accepting new patients
Cindy Hoffman DO PC CurrentSince Jul 1, 2011 Accepting new patients
Gennady Ukrainsky MD PC Otolaryngology Past Accepting new patients
Vanguard Dermatology Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

1810 Voorhies Ave
Ste 2
Brooklyn, NY 11235
Phone (718) 891-6396

2148 Ocean Ave
Fl 5
Brooklyn, NY 11229

2797 Ocean Pkwy
Ste 3
Brooklyn, NY 11235
Phone (718) 615-4000

686 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 279-1111

55 Quaker Ave
Ste 202
Cornwall, NY 12518
Phone (845) 458-8188

969 Main St
Ste D
Fishkill, NY 12524
Phone (845) 896-7730

10812 72nd Ave
Ste 3
Forest Hills, NY 11375
Phone (718) 384-6933

10812 72nd Ave
Forest Hills, NY 11375
Phone (718) 544-9300

11045 Queens Blvd
Ste 116
Forest Hills, NY 11375
Phone (718) 332-2999

98 Green St
Ste 4
Hudson, NY 12534
Phone (518) 412-3300

40 Hurley Ave
Ste 10
Kingston, NY 12401
Phone (845) 338-3200

310 E 14th St
#1
New York, NY 10003

310 E 14th St
Fl 6
New York, NY 10003
Phone (212) 979-4200

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
Ste 4
New York, NY 10003

29 Fox St
Fl 4
Poughkeepsie, NY 12601
Phone (845) 473-2350

336 Route 202
Ste 2
Somers, NY 10589
Phone (914) 617-8950

1847 Richmond Ave
Fl 2
Staten Island, NY 10314

1855 Richmond Ave
#5
Staten Island, NY 10314
Phone (718) 332-2999

155 White Plains Rd
Ste 109
Tarrytown, NY 10591
Phone (914) 366-6139

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gmashkevich@direct.nyee-provider.mountsinai.org

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.

Hospital & facility affiliations 1

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1346398690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2625",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098925",
            "telephone_number": "718-544-9300",
            "fax_number": "718-544-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10812 72ND AVE STE 3",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757080",
            "telephone_number": "718-544-9300",
            "fax_number": "718-544-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHKEVICH",
        "first_name": "GRIGORIY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A98950",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "236999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PPIN#",
            "identifier": "00A989500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.