Active NPI
Vladimir Ioffe
- Orthopedic Assistant
- Brooklyn, NY
National Provider Identifier
1376928192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Assistant
- License
- O000100-1
- Practice address
- 2960 Ocean Avenue 6TH Floor
Petrychenko Physician PC.
Brooklyn, NY 11235 - Phone
- (718) 336-5123
- Fax
- (718) 336-5137
- NPI assigned
- Jul 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Assistant | 246ZX2200X | O000100-1 | NY | Primary |
Addresses
Primary practice location
2960 Ocean Avenue 6TH Floor
Petrychenko Physician PC.
Brooklyn, NY 11235
Mailing address
2960 Ocean Avenue 6TH Floor
Petrychenko Physician PC.
Brooklyn, NY 11235
Phone (718) 336-5123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O000100-1 | NY | MD | Orthopedic Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1376928192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 OCEAN AVENUE 6TH FLOOR",
"address_2": "PETRYCHENKO PHYSICIAN PC.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-336-5123",
"fax_number": "718-336-5137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 OCEAN AVENUE 6TH FLOOR",
"address_2": "PETRYCHENKO PHYSICIAN PC.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-336-5123",
"fax_number": "718-336-5137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IOFFE",
"first_name": "VLADIMIR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-22",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": "NY",
"license": "O000100-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.