Organization Active NPI

Znahar Medical PC

  • Primary Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1659637247
Registry record updated Apr 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
60-246539 Issued in NY
Legal business name
ZNAHAR MEDICAL PC
Practice address
682 Forest Ave
Staten Island, NY 10310-2507
Phone
(718) 816-0848
Fax
(718) 698-9412
NPI assigned
Apr 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2012

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

Authorized official

Name
Dr. Kateryna Perevoznychenko, M.D.
Title
President
Phone
(718) 816-0848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 60-246539 NY Primary

Addresses

Primary practice location

682 Forest Ave
Staten Island, NY 10310-2507

Mailing address

682 Forest Ave
Staten Island, NY 10310-2507
Phone (718) 816-0848

National Provider Directory

National Provider Directory

Locations

682 Forest Ave
Staten Island, NY 10310
Phone (718) 370-3730

NPI Registry JSON

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

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333843200000",
    "number": "1659637247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102507",
            "telephone_number": "718-816-0848",
            "fax_number": "718-698-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102507",
            "telephone_number": "718-816-0848",
            "fax_number": "718-698-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZNAHAR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-08",
        "last_updated": "2012-04-08",
        "status": "A",
        "authorized_official_last_name": "PEREVOZNYCHENKO",
        "authorized_official_first_name": "KATERYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-816-0848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "60-246539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.