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

Last updated

Jan 4, 2019By the provider in NPPES

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, and the practitioner matching its NPPES authorized official.

• 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.