Active NPI
Sergey Kochkine, M.D.
- Diagnostic Radiology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 286933
- Practice address
- 101 Nicolls Rd
Stony Brook, NY 11794-6402 - Phone
- (631) 444-5400
- NPI assigned
- May 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 286933 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 253272 | MA |
Addresses
Primary practice location
101 Nicolls Rd
Stony Brook, NY 11794-6402
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (718) 404-2322
Other practice location 1
55 Fruit St
Boston, MA 02114-1552
Phone (617) 724-5246
Other practice location 2
560 1st Ave
New York, NY 10016-6402
Phone (212) 263-5230
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
- Diagnostic Radiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-3407
Phone (631) 638-2121
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5400
201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-1000
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
- Long Island Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Radiology, University Faculty Practice Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Current | Accepting new patients |
| Columbiadoctors/Newyork-Presbyterianimaging | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Radiological Consultants, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
560 1st Ave
New York, NY 10016
Phone (212) 263-5362
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
51 W 51st St
Ste 300
New York, NY 10019
Phone (212) 342-3666
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Stony Brook, NY
- NPI 1366497448
-
- Specialist
- New York, NY
- NPI 1902345986
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Diagnostic Radiology Physician
- Hamilton, NJ
- NPI 1811994791
NY
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Diagnostic Radiology
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1538127428
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1538450010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "718-404-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICOLLS RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117946402",
"telephone_number": "631-444-5400"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021141552",
"country_code": "US",
"telephone_number": "617-724-5246",
"fax_number": "617-724-7140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "560 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-5230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCHKINE",
"first_name": "SERGEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-02",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "286933",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "253272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.