Dmitry Khasak, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1940541 Issued in NY

Practice address

77 Park Ave
New York, NY 10016-2556

Phone

(212) 826-6999

Fax

(201) 626-4041

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

New York University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dmitry Khasak MD PC IncGroup PAC ID 7911153572, 3 clinicians

Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians

Dmitry Khasak MD PCGroup PAC ID 9335395821, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEGGCA
• Direct secure messaging: dmitry.khasak@direct.bayonnemedicalcenter.md

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.

• Century Medical & Dental Center Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1144399098
  Medicare reassignment Care Compare group NPD
• Dmitry Khasak MD PC

  • Dermatology Physician
  • New York, NY
  • NPI 1649531450
  Medicare reassignment Care Compare group NPD
• Dmitry Khasak MD PC Inc

  • Dermatology Physician
  • Jersey City, NJ
  • NPI 1679835946
  Medicare reassignment Care Compare group NPD
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment NPD
• Gastroenterology Associates of Brooklyn PLLC

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1821427964
  Medicare reassignment NPD
• W Medical LLC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1831968676
  Medicare reassignment
• Ijkg Opco LLC

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• North General Physician Services PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1851315337

  Dermatology

  NPD (past)
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)
• Bayonne Dermatology Associates

  • Specialist
  • Bayonne, NJ
  • NPI 1659583227

  Dermatology

  NPD (past)
• Better Skin Dermatology, LLC

  • Specialist
  • Jersey City, NJ
  • NPI 1437214210
  NPD (past)
• Immediate Care P.C.

  • Family Medicine Physician
  • Jersey City, NJ
  • NPI 1134105620
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1649258286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6656",
            "address_2": "DMITRY KHASAK MD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10150",
            "telephone_number": "201-626-4040",
            "fax_number": "201-626-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162556",
            "telephone_number": "212-826-6999",
            "fax_number": "201-626-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHASAK",
        "first_name": "DMITRY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "1940541",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA06377000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surinder Singh Khare, O.D.
• Viktoria Kharlamb, PHARMD
• Farhana Kharodia, PA-C
• Bita Kharraz Pahlewan, M.D.
• Mariam Kharroubi, MD
• Nadia Khasawneh
• Anunita Khasgiwala
• Berta Khasina, M.S.ED
• Rachel J Khasky-Levy, MS. CCC SLP
• Mustafa Khasraw, MD MRCP

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.