Individual provider Active NPI

Dina Zhukovskiy, M.A. SLP

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
National Provider Identifier
1699022350
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
111 Livingston St
Suite 1101
Brooklyn, NY 11201-5078
Phone
(718) 645-4055
NPI assigned
Aug 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

111 Livingston St
Suite 1101
Brooklyn, NY 11201-5078

Mailing address

3655 Shore Pkwy Apt 1F
Brooklyn, NY 11235-2139
Phone (347) 731-6812

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)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1699022350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 SHORE PKWY APT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352139",
            "telephone_number": "347-731-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LIVINGSTON ST",
            "address_2": "SUITE 1101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015078",
            "telephone_number": "718-645-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUKOVSKIY",
        "first_name": "DINA",
        "name_prefix": "Mrs.",
        "credential": "M.A. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-12",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.