Vladimir Alexander Pichkar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

010925 Issued in NY

Practice address

317 East 17 Street
2ND Floor
Ny, NY 10003

Phone

(212) 420-2885

Fax

(212) 844-1762

NPI assigned

Mar 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Icahn School of Medicine at Mount Sinai

  • Infectious Disease Physician
  • New York, NY
  • NPI 1659639524
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1700202140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BAY 26TH ST",
            "address_2": "APT B1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144948",
            "telephone_number": "212-420-2885",
            "fax_number": "212-844-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 EAST 17 STREET",
            "address_2": "2ND FLOOR",
            "city": "NY",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2885",
            "fax_number": "212-844-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHKAR",
        "first_name": "VLADIMIR",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuk Lan Peng
• Lisa Denny Perera, LCSW
• Lady Marie Peterson, LMSW
• Paulette Pettorino, LAC
• Pgcmh
• Mary Pilossoph, NP
• Michael Adam Poles, M.D., PH.D.
• Svetlana Ponomareva, DDS
• Port Chester Podiatry PC
• Tara Joy Post, OTR/L

• Medical Physician Assistant in Ny, NY
• Providers in Ny, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.