Individual provider Active NPI

Vladyslav Mykhalskyy, M.D.

  • Specialist
  • Bronx, NY
National Provider Identifier
1609021476
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
131740114 Issued in NY
Practice address
4140 Carpenter Ave
1E
Bronx, NY 10466-2650
Phone
(718) 920-9123
NPI assigned
Nov 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 131740114 NY Primary

Addresses

Primary practice location

4140 Carpenter Ave
1E
Bronx, NY 10466-2650

Mailing address

4140 Carpenter Ave
1E
Bronx, NY 10466-2650
Phone (718) 920-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1609021476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CARPENTER AVE",
            "address_2": "1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662650",
            "telephone_number": "718-920-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 CARPENTER AVE",
            "address_2": "1E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662650",
            "telephone_number": "718-920-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYKHALSKYY",
        "first_name": "VLADYSLAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "131740114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.