Kseniya Dor, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F309554 Issued in NY

Practice address

6433 99TH St Apt 6L
Rego Park, NY 11374-3543

Phone

(929) 255-0911

NPI assigned

May 19, 2020

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kseniya.dor@cinq-nyipa.medentdirect.com

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• Harmony Medical Services of New York, PLLC

  • Family Medicine Physician
  • Whitestone, NY
  • NPI 1669178448
  Medicare reassignment NPD
• Beacon Health Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1679393052
  Medicare reassignment
• Urban Family Practice PC

  • In Home Supportive Care Agency
  • Baltimore, MD
  • NPI 1164594099
  NPD (past)

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1669095196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 99TH ST APT 6L",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743543",
            "telephone_number": "929-255-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 99TH ST APT 6L",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743543",
            "telephone_number": "929-255-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOR",
        "first_name": "KSENIYA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilip S Doctor, M.D
• Dipika D Doctor, M.D.
• Gerald John Doherty, MD
• Roman R Domatov
• Dongxing Acupuncture PC
• Dora Zaretsky Medical P.C.
• Karl Dormesy, MD
• Doug Uhlig Psychological Services PLLC
• Dawnette A Douglas
• Dr John McPartlin DDS PC

• Adult Health Nurse Practitioner in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.