Anzhelika Briskin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010386-1 Issued in NY

Practice address

1009 Brighton Beach Ave
Ste 1a
Brooklyn, NY 11235-5606

Phone

(718) 332-3200

Fax

(718) 332-3319

NPI assigned

Nov 23, 2007

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Executive Medical Care PCGroup PAC ID 2567551849, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Executive Medical Care,P.C.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1326265885
  Medicare reassignment Care Compare group
• Oleg Karpenko Podiatry P.C.

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1740566140
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1629259296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355606",
            "telephone_number": "718-332-3200",
            "fax_number": "718-332-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355606",
            "telephone_number": "718-332-3200",
            "fax_number": "718-332-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISKIN",
        "first_name": "ANZHELIKA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010386-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Briones
• Marlene Briones, LMSW
• Mary Kim Brisca, LMSW
• Mindy Brisk
• Yira Brisk, MS
• Lala Briskman
• Tatyana Brisman, P.T.
• Jenelle Brison, MD
• Diamond Brissett, SC
• Monique Brissett, FNP

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.