Individual provider Active NPI

Boris Tsemekhin, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1508885690
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
234526 Issued in NY
Practice address
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone
(718) 616-4408
Fax
(718) 616-4105
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 234526 NY Primary

Addresses

Primary practice location

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Mailing address

2750 Homecrest Ave
Apt 323
Brooklyn, NY 11235-4656
Phone (718) 891-4320

Other identifiers 1

IdentifierTypeStateIssuer
02623632MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000571 NY Practitioner - AnesthesiologyPractitioner - General Surgery 2961453253 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

14 Dekalb Ave
FL 4
Brooklyn, NY 11201-5311
Phone (929) 252-9217

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Digestive Diseases Diagnostic & Treatment Center LLC CurrentSince May 13, 2012 Accepting new patients
PBGS, LLC CurrentSince Jun 2, 2015 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Nov 1, 2012 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Feb 28, 2011 Accepting new patients
Blair S. Lewis, M.D.,P.C. PastSince Feb 6, 2009 Accepting new patients
University Group Medical Associates, P.C Anesthesiology Past Accepting new patients
Manhattan West Side Medical Service PLLC PastSince Mar 1, 2020 Accepting new patients
St Kilda Medical Service,PLLC PastSince Dec 1, 2010 Accepting new patients
East Manhattan Medical Services,PC PastSince Nov 13, 2011 Accepting new patients
Westend Medical Services,PC Past Accepting new patients
R&N Anesthesia PLLC Anesthesiology Past Accepting new patients

Locations

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

14 DeKalb Ave
Fl 4
Brooklyn, NY 11201
Phone (718) 408-4999

14 DeKalb Ave
Fl 2
Brooklyn, NY 11201
Phone (718) 517-2244

2601 Ocean Pkwy
#D
Brooklyn, NY 11235
Phone (718) 769-5158

11120 Queens Blvd
Forest Hills, NY 11375
Phone (718) 263-2208

711 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 783-0710

310 E 72nd St
#C
New York, NY 10021
Phone (212) 249-3720

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1808/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508885690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 HOMECREST AVE",
            "address_2": "APT 323",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354656",
            "telephone_number": "718-891-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-4408",
            "fax_number": "718-616-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEMEKHIN",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "234526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02623632",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.