Affinity Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

217873 Issued in NY

Legal business name

AFFINITY MEDICAL PC

Practice address

8635 21St Ave
1A
Brooklyn, NY 11214-4049

Phone

(718) 758-4100

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ilya Domnich, MDNPI 1699793034

Title

Owner

Phone

(718) 758-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8097/brand/2/csg/1/fhir/r4

Practitioners 2

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

• Ilya Domnich, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1699793034
  Medicare reassignment Care Compare group Authorized official
• Marina Yuditskaya, NP

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1952681058
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1386918100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 21ST AVE",
            "address_2": "1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144049",
            "telephone_number": "718-758-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 21ST AVE",
            "address_2": "1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144049",
            "telephone_number": "718-758-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "DOMNICH",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-758-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE",
            "identifier": "217873",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affinity Care of Illinois LLC
• Affinity Care of Palm Beach County LLC
• Affinity Care of South Dakoka LLC
• Affinity Care of Vermont LLC
• Affinity Care of Wisconsin LLC
• Affinity Nursing Services
• Elizabeth Afflick-Palmer
• Daferti Afflick, NP-C
• Sharon Afflick
• Ernest D Afflu, M.D.

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.