Lyudmila Poretskaya, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

208817 Issued in NY

Practice address

2379 65TH St
Brooklyn, NY 11204-4045

Phone

(718) 375-0392

Fax

(718) 375-4324

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mag Medical, PCGroup PAC ID 0941191456, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mag Medical, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1215008040
  Medicare reassignment Care Compare group
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment NPD
• Brooklyn Comprehensive Care Center Inc.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1154355105
  Medicare reassignment NPD
• Wellcare of BX Medical PC

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1851848618
  Medicare reassignment
• Brooklyn Community Medical PC

  • Specialist
  • Brooklyn, NY
  • NPI 1891798104
  NPD
• Alexander Merson, M.D., PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1215246137
  NPD (past)
• Bensonhurst Mega Medical Care PC

  • Adolescent Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1871747006
  NPD (past)
• M.a.G.a. Medical Care P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1730139932
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1558386409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 65TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-375-0392",
            "fax_number": "718-375-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044045",
            "telephone_number": "718-375-0392",
            "fax_number": "718-375-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORETSKAYA",
        "first_name": "LYUDMILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "208817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883843",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lee Porcella
• Roger Edward Porcelli
• Barbara Porcheddu, RN
• Chanel Lauren Porchia-Albert, CD,CLC
• Rebecca Lynn Poret, PHARM.D.
• Aron Porges
• Malka Porges
• Kennedy Marie Poro
• Shayan Porooshasp
• Ayaj Hossain Porosh, PHARM.D

• Legal Medicine in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.

Verify at the official NPI Registry.