Aleksandr A Ponomarev, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08734700 Issued in NJ

Practice address

773 9TH Ave
New York, NY 10019-6336

Phone

(212) 586-1550

NPI assigned

Apr 11, 2008

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maneyapanda LLC

  • Family Medicine Physician
  • Clifton, NJ
  • NPI 1003287715
  NPD (past)
• Meadowlands Physicians Professional Association

  • General Practice Physician
  • Secaucus, NJ
  • NPI 1669728283
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1477726370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196336",
            "telephone_number": "212-586-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196336",
            "telephone_number": "212-586-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONOMAREV",
        "first_name": "ALEKSANDR",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08734700",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "245111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pudit Pongvitayapanu
• Diego Andres Ponieman, MD
• Sanjana Ponnam
• Madhavi Ponnapalli, MD
• Esha Ponnuri
• Yan G Ponomarev, DPT
• Anastasiya Ponomaryova
• Adam Pont, MD
• Antonio Pontecorvi, PTA
• Anamaria Pontes, MS, RD, CDN

• Internal Medicine Physician in New York, NY
• Providers in New York, 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 Nov 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.