Active NPI
Stanislav Kulishov, MD
- Neurology Physician
- Brooklyn, NY
National Provider Identifier
1497857502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 208948
- Practice address
- 1833 East 13 Street
Ste 1a
Brooklyn, NY 11229 - Phone
- (718) 627-3939
- Fax
- (718) 627-8737
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 208948 | NY | Primary |
Addresses
Primary practice location
1833 East 13 Street
Ste 1a
Brooklyn, NY 11229
Mailing address
1833 East 13 Street
Ste 1a
Brooklyn, NY 11229
Phone (718) 627-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01817945 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1833 E 13TH St
Suite 1a
Brooklyn, NY 11229-2885
Phone (718) 627-3939
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.91 of 100
- Quality
- 85.71
- Improvement activities
- 40
- Cost
- 75.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208948 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanislav Kulishov Physician P.C. | Current | Accepting new patients |
Locations
1833 E 13th St
Ste 1A
Brooklyn, NY 11229
Phone (718) 627-3939
Organizations & group practices 1
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Brooklyn, NY
- NPI 1477627370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497857502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 EAST 13 STREET",
"address_2": "STE 1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"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 EAST 13 STREET",
"address_2": "STE 1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-627-3939",
"fax_number": "718-627-8737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULISHOV",
"first_name": "STANISLAV",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "208948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01817945",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.