Individual provider Active NPI

Dina Lemkova-Seryy, NP

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1376981977
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351135 Issued in NY
Practice address
10124 Queens Blvd Ste a
Forest Hills, NY 11375-2779
Phone
(718) 261-8881
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351135 NY Primary

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

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216000732 NY Practitioner - Nurse Practitioner 1456723618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Care PLLC CurrentSince Feb 1, 2023 Accepting new patients
Advanced Medical Care CurrentSince Feb 1, 2023 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: dina.lemkova-seryy@1058468776706052.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1376981977",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMKOVA-SERYY",
        "first_name": "DINA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2023-02-28",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.