Active NPI
Sinai Diagnostics and Interventional Radiology, P.C.
- Specialist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H90111649883
- Legal business name
- SINAI DIAGNOSTICS AND INTERVENTIONAL RADIOLOGY, P.C.
- Practice address
- 2560 Ocean Ave
Brooklyn, NY 11229-4507 - Phone
- (718) 615-4100
- Fax
- (718) 615-4111
- NPI assigned
- Mar 29, 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. Vadim Kolesnikov, M.D.
- Title
- Owner
- Phone
- (718) 615-4100
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 |
|---|---|---|---|---|
| Specialist | 174400000X | H90111649883 | NY | Primary |
Addresses
Primary practice location
2560 Ocean Ave
Brooklyn, NY 11229-4507
Mailing address
2560 Ocean Ave
Brooklyn, NY 11229-4507
Phone (718) 615-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02205723 | Medicaid | NY |
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 |
|---|---|---|---|
| 33D2099721 | Sinai Diagnostics and Interventional Radiology PC | Certificate of waiver | Oct 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
901 N Collier Blvd
#B
Marco Island, FL 34145
Phone (718) 615-4100
2035 Ralph Ave
Ste A4
Brooklyn, NY 11234
Phone (646) 226-7022
7610 34th Ave
Ste 1E
Jackson Hts, NY 11372
Phone (718) 397-0265
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Specialist
- Brooklyn, NY
- NPI 1871652974
-
- Internal Medicine Physician
- New York, NY
- NPI 1447365382
-
- Phlebology Physician
- New York, NY
- NPI 1851528616
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1730471814
Single Specialty
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1396743266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430265600000",
"number": "1619096484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294507",
"telephone_number": "718-615-4100",
"fax_number": "718-615-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294507",
"telephone_number": "718-615-4100",
"fax_number": "718-615-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SINAI DIAGNOSTICS AND INTERVENTIONAL RADIOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2015-04-29",
"status": "A",
"authorized_official_last_name": "KOLESNIKOV",
"authorized_official_first_name": "VADIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-615-4100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "H90111649883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02205723",
"state": "NY"
}
],
"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 Apr 29, 2015; 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.