Stanislav Kupchenko, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043755-1 Issued in NY

Practice address

214 W 29TH St RM 901
New York, NY 10001-5757

Phone

(917) 338-6268

NPI assigned

Nov 23, 2018

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiofitness P.T., P.C.Group PAC ID 8921177296, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physiofitness P.T., P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1063684629
  Medicare reassignment Care Compare group NPD
• RB Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1790013282
  NPD

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542931200000",
    "number": "1508335258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 215TH ST APT 7P",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 29TH ST RM 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015757",
            "telephone_number": "917-338-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPCHENKO",
        "first_name": "STANISLAV",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043755-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Kuo, LCSW
• Yu Jong Kuo
• Lindsey Kuohn
• Kuona Optometry PLLC
• Kevin G Kuonqui
• Silvia Kuper, PT
• Gregory Kuperman, L.AC.
• Rimma Kupershteyn
• Yevgeniya Kupershteyn, LMSW
• Jane Kupersmidt, LCSW

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.