Active NPI
Next Door Medical, PC
- Family Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 227264
- Legal business name
- NEXT DOOR MEDICAL, PC
- Practice address
- 580 Pennsylvania Ave
Brooklyn, NY 11207-6308 - Phone
- (718) 498-4420
- NPI assigned
- Feb 1, 2007
- Last updated
- Aug 22, 2020
- 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
- Oleg Lushpenko
- Title
- MD
- Phone
- (718) 498-4420
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 227264 | NY | Primary |
Addresses
Primary practice location
580 Pennsylvania Ave
Brooklyn, NY 11207-6308
Mailing address
580 Pennsylvania Ave
Brooklyn, NY 11207-6308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1019070 | Next Door Medical PC | Certificate of waiver | Nov 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
580 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 498-4420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1184662181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508903915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 PENNSYLVANIA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112076308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 PENNSYLVANIA AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112076308",
"telephone_number": "718-498-4420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXT DOOR MEDICAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LUSHPENKO",
"authorized_official_first_name": "OLEG",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "718-498-4420"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "227264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Newyork-Presbyterian Brooklyn/Methodist Hospital
- Newyork-Presbyterian/Brooklyn Methodist
- Nexivanta Supplies LLC
- Nexora Supply Group Inc
- Next Care Family Health NP, PLLC
- Next Genn Solutions LLC
- Next Step Applied Behavior Analysis PLLC
- Next Step Psychiatry PLLC
- Next Step Therapy Corp
- Nextgen Pharmacy Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.