Stanislav Kulishov Physician P.C.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

208948 Issued in NY

Legal business name

STANISLAV KULISHOV PHYSICIAN P.C.

Practice address

1833 E 13TH St
Suite 1a
Brooklyn, NY 11229-2807

Phone

(718) 627-3939

Fax

(718) 627-8737

NPI assigned

Nov 20, 2006

Last updated

Nov 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stanislav Kulishov, MDNPI 1497857502

Title

President

Phone

(718) 627-3939

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stanislav Kulishov, MD

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1497857502
  Medicare reassignment NPD Authorized official
• Boris Spector, MS, PT

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1326043142
  Medicare reassignment NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1477627370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 E 13TH ST",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292807",
            "telephone_number": "718-627-3939",
            "fax_number": "718-627-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 E 13TH ST",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292807",
            "telephone_number": "718-627-3939",
            "fax_number": "718-627-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAV KULISHOV PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "KULISHOV",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-627-3939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "208948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03475514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindy Stanger
• Ana Carolina Staniscia de Sanctis, MHC
• Eugene D. Stanislaus, D.D.S.
• Mandisa Stanislaus
• Stanislav Kaminsky DPT, PT, PC
• Anna Stanislavsky
• Colleen Cara Stankey, MD
• Alicia A Stankiewicz, OTR/L
• Vesna Stankovic, LPN
• Stanley J. Stos, D.C., P.C.

• Neurology with Special Qualifications in Child Neurology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.