Organization Active NPI

Mikhail Plotnitskiy, D.O., P.C.

  • Obstetrics & Gynecology Physician
  • Long Beach, NY
National Provider Identifier
1457582124
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
245179 Issued in NY
Legal business name
MIKHAIL PLOTNITSKIY, D.O., P.C.
Practice address
265 W Park Ave
Long Beach, NY 11561-3222
Phone
(516) 897-0708
Fax
(516) 431-4107
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Miss Erin M Hack
Title
Office Manager
Phone
(516) 897-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 245179 NY Primary

Addresses

Primary practice location

265 W Park Ave
Long Beach, NY 11561-3222

Mailing address

265 W Park Ave
Long Beach, NY 11561-3222
Phone (516) 897-0708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000278 NY Part B Supplier - Clinic/Group Practice 9133269715 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Locations

2 Lincoln Ave
Ste 400
Rockville Ctr, NY 11570
Phone (516) 536-1212

85 E Merrick Rd
Ste C
Valley Stream, NY 11580

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1457582124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613222",
            "telephone_number": "516-897-0708",
            "fax_number": "516-431-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613222",
            "telephone_number": "516-897-0708",
            "fax_number": "516-431-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL PLOTNITSKIY, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "HACK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-897-0708",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "245179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.