Active NPI
Diagnostic Neurology PC
- Neurology Physician
- Brooklyn, NY
National Provider Identifier
1609069657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- DIAGNOSTIC NEUROLOGY PC
- Practice address
- 2797 Ocean Pkwy
2ND Floor
Brooklyn, NY 11235-7868 - Phone
- (718) 576-1212
- Fax
- (718) 332-7110
- NPI assigned
- Aug 23, 2007
- 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
- Dr. Sergey Zhivotenko, MD
- Title
- Owner
- Phone
- (718) 576-1212
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
2797 Ocean Pkwy
2ND Floor
Brooklyn, NY 11235-7868
Mailing address
2797 Ocean Pkwy
2ND Floor
Brooklyn, NY 11235-7868
Phone (718) 576-1212
National Provider Directory
National Provider Directory- Tax ID family
- Diagnostic Neurology PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Neurophysiology Physician
- Brooklyn, NY
- NPI 1811192248
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Brooklyn, NY
- NPI 1154348092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269216000000",
"number": "1609069657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2797 OCEAN PKWY",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357868",
"telephone_number": "718-576-1212",
"fax_number": "718-332-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2797 OCEAN PKWY",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357868",
"telephone_number": "718-576-1212",
"fax_number": "718-332-7110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC NEUROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2010-03-22",
"status": "A",
"authorized_official_last_name": "ZHIVOTENKO",
"authorized_official_first_name": "SERGEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-576-1212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.