Active NPI
New York Comprehensive Neurology PC
- Neurology Physician
- Brooklyn, NY
National Provider Identifier
1487087201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 258729
- Legal business name
- NEW YORK COMPREHENSIVE NEUROLOGY PC
- Practice address
- 55 Greene Ave
Brooklyn, NY 11238-6406 - Phone
- (646) 641-8292
- NPI assigned
- Aug 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dmitry Shmerkovich, DO
- Title
- Owner
- Phone
- (646) 641-8292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 258729 | NY | Primary |
Addresses
Primary practice location
55 Greene Ave
Brooklyn, NY 11238-6406
Mailing address
2711 Avenue X Apt 3E
Brooklyn, NY 11235-2028
Phone (646) 641-8292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258729 | Other | NY | LISCENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131206000227 | NY | Part B Supplier - Clinic/Group Practice | 4082841648 |
Receives reassigned benefits from 1 practitioner Practice locations: Brooklyn, NY |
National Provider Directory
National Provider DirectoryLocations
1307 Gravesend Neck Rd
Brooklyn, NY 11229
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1750451407
-
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1952681058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426809600000",
"number": "1487087201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 AVENUE X APT 3E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352028",
"telephone_number": "646-641-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 GREENE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386406",
"telephone_number": "646-641-8292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK COMPREHENSIVE NEUROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-15",
"last_updated": "2015-03-20",
"status": "A",
"authorized_official_last_name": "SHMERKOVICH",
"authorized_official_first_name": "DMITRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-641-8292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "258729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENCE",
"identifier": "258729",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- New York Community Hospital of Brooklyn Inc
- New York Community Hospital of Brooklyn Inc
- New York Community Hospital of Brooklyn, Inc.
- New York Community Medical & Surgical PC
- New York Community Medical Care, PC
- New York Congregational Nursing Center
- New York Congregational Nursing Center
- New York Continuum Services LLC
- New York Creative Arts Therapists PLLC
- New York Diagnostic Medical Care P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.