Active NPI
Lilia Gorodinsky, D.O.
- Family Medicine Physician
- New York, NY
National Provider Identifier
1669640553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 258147
- Practice address
- 210 E 86TH St
203
New York, NY 10028 - Phone
- (212) 537-0614
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS014308 | PA | |
| Family Medicine Physician | 207Q00000X | 258147 | NY | Primary |
| Family Medicine Physician | 207Q00000X | 52038 | CT |
Addresses
Primary practice location
210 E 86TH St
203
New York, NY 10028
Mailing address
210 E 86TH Suite 203
Ny, NY 10028
Phone (212) 537-0614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258147 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chemung Medical Services PC | Family Medicine | Past | Accepting new patients |
| Eastern Connecticut Medical Professionals Foundation Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1669640553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 86TH SUITE 203",
"city": "NY",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-537-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 86TH ST",
"address_2": "203",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-537-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORODINSKY",
"first_name": "LILIA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS014308",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "258147",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "52038",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.