Organization Active NPI

Sinai Diagnostics and Interventional Radiology, P.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1619096484
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H90111649883 Issued in NY
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

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Dr. Vadim Kolesnikov, M.D.NPI 1871652974
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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02205723MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000057 NY Part B Supplier - Clinic/Group Practice 7416846274 Receives reassigned benefits from 11 practitioners
Practice locations: Jackson HTS, NY; Staten Island, NY; Jamaica, NY; Elmhurst, NY; Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2099721Sinai Diagnostics and Interventional Radiology PC2560 Ocean Avenue, Lower Level, Brooklyn, NY 11229Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.