Olena Ksovreli Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

221578 Issued in NY

Legal business name

OLENA KSOVRELI PHYSICIAN PC

Practice address

6735 Ridge Blvd
Brooklyn, NY 11220-5248

Phone

(718) 745-1236

NPI assigned

Feb 27, 2009

Organization subpart

No

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

Authorized official

Name

Olena Ksovreli, MD

Title

President

Phone

(718) 745-1236

Specialties & licenses 1

Addresses

Practitioners 1

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

• Charles S Lapunzina, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
  • NPI 1275579930
  NPD (past)

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1700026911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 95TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097252",
            "telephone_number": "718-833-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 RIDGE BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205248",
            "telephone_number": "718-745-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLENA KSOVRELI PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "KSOVRELI",
        "authorized_official_first_name": "OLENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-745-1236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oleg Karpenko Podiatry P.C.
• Oleg Katcher MDPC
• Oleg Kotelskiy D.O., P.C.
• Olena Dotsenko Medical P.C.
• Olena Inc
• Olena V Corp
• Alexander David Olenick, MSW
• Miriam Olenick
• Olesya Semchenkova OD PC
• Sabina Oletsky

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.