Ji Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JI MEDICAL PC

Practice address

2792 Ocean Ave FL 2
Brooklyn, NY 11229-4731

Phone

(917) 855-0007

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Joseph IwanickiNPI 1225105513

Title

Practice Owner

Phone

(917) 855-0007

Specialties & licenses 1

Addresses

Other names 1

• Kalon Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Eric Biro, M.D.

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1265439129
  Medicare reassignment Care Compare group NPD
• Danny Bronshtein, NP

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
  • NPI 1417489188
  Medicare reassignment Care Compare group NPD
• Michael Gladstein, MD

  • Dermatology Physician
  • Lake Ronkonkoma, NY
  • NPI 1104848811
  Medicare reassignment Care Compare group NPD
• Joseph Iwanicki, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1225105513
  Medicare reassignment NPD Authorized official
• Tatiana Davydova, PAC

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1316644677
  Medicare reassignment Care Compare group
• Jane Y Levitt, PA

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1649412180
  Medicare reassignment Care Compare group
• Rita Tsipen, PA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1740727858
  Medicare reassignment Care Compare group
• Shannen Liu

  • Physician Assistant
  • New York, NY
  • NPI 1194181982
  Medicare reassignment
• Yuliya Panina

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1205553393
  Medicare reassignment
• Yelena Terushkin, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1922564186
  Medicare reassignment
• Leon Stepensky

  • Foot Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1528042413
  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1366035248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 OCEAN AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294731",
            "telephone_number": "917-855-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "IWANICKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "917-855-0007"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalon Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jha Pharma LLC
• Aaradhana Jivendra Jha, MD
• Geet Priya Jha, SW
• Gopi V Jhaveri Pillai, PHYSICAL THERAPIST
• JHCS Inc
• Ji Medical PC
• Ji-Ae Chang LCSW PLLC
• Beisi Ji
• Michelle Ji
• Changping Jia, MD

• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.