Dimitry Goncharov, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

269283 Issued in NY

Practice address

274 Madison Ave
Suite 300
New York, NY 10016-0701

Phone

(212) 201-1217

Fax

(646) 843-7617

NPI assigned

Jan 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

New York College of Osteo Medicine of New York Institute of Technology, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goncharov Medical PCGroup PAC ID 2062739246, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgoncharov546961@nyumc.direct-ci.com
• Direct secure messaging: pureobgyn@gmp-ny.direct.office.nextgen.com

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.

• Goncharov Medical, P.C.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1831580091
  Medicare reassignment Care Compare group Authorized official
• Pure OBGYN Surgery PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1114436409
  NPD Authorized official
• Yelena Rubinshteyn MD PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1184151938
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1457657280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-201-1217",
            "fax_number": "646-843-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-201-1217",
            "fax_number": "646-843-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCHAROV",
        "first_name": "DIMITRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "269283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Mariana Goncalves
• Lindsey M Goncalves, MS, CCC-SLP
• Marcus Dasilva Goncalves, M.D., PH.D.
• Meryann Goncalves
• Nicholas Goncalves, PA-C
• Oleg Goncharov, DDS
• Tamas Gonda, M.D.
• Suma Gondi
• Gabriel Gondolesi, MD
• Evelyne Nadia Gone, M.D.

• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.