Nyc Medical and Neurodiagnostic PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NYC MEDICAL AND NEURODIAGNOSTIC PC

Practice address

6318 Austin St
Rego Park, NY 11374-2923

Phone

(718) 275-7860

Fax

(718) 275-7882

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dmitriy V Kolesnik, MDNPI 1851326367

Title

President

Phone

(718) 275-7860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dmitriy V Kolesnik, MD

  • Neurology Physician
  • Rego Park, NY
  • NPI 1851326367
  Medicare reassignment Care Compare group NPD Authorized official
• Irina Zavulunova

  • Adult Health Nurse Practitioner
  • New York, NY
  • NPI 1134423478
  Medicare reassignment Care Compare group NPD
• Abimilech Dela Cruz Anola, DPT

  • Physical Therapist
  • Sunnyside, NY
  • NPI 1245616564
  Medicare reassignment NPD
• Nina Dayen, DO

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1821248386
  Medicare reassignment NPD
• Milana Zirkiyeva, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1730608092
  Medicare reassignment NPD
• Roza Khalilova, R-PAC

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1194055491
  Medicare reassignment
• Irina Lazarovich, RPA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1710043229
  Medicare reassignment
• Elisabeth Lorraine Merson-Mescon, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1275968661
  Medicare reassignment
• Neil Schaul, MD

  • Neurology Physician
  • Flushing, NY
  • NPI 1497779565
  Medicare reassignment
• Viola Zilber, PA

  • Medical Physician Assistant
  • Brooklyn, NY
  • NPI 1881826162
  Medicare reassignment

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1669407185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 AUSTIN ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742923",
            "telephone_number": "718-275-7860",
            "fax_number": "718-275-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 AUSTIN ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742923",
            "telephone_number": "718-275-7860",
            "fax_number": "718-275-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC MEDICAL AND NEURODIAGNOSTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "KOLESNIK",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-275-7860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.