Dmitry Pediatrics, Pediatric Nurse Practitioner PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

DMITRY PEDIATRICS, PEDIATRIC NURSE PRACTITIONER PC

Practice address

1726 Flatbush Ave
Brooklyn, NY 11210-4127

Phone

(646) 465-3055

NPI assigned

Oct 3, 2020

Organization subpart

No

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

Authorized official

Name

Dmitry Shindelman, CPNPNPI 1952793747

Title

President

Phone

(646) 465-3055

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Dmitry Shindelman, CPNP

  • Pediatric Nurse Practitioner
  • Brooklyn, NY
  • NPI 1952793747

  Pediatrics

  NPD Authorized official
• Alla Gonchar

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1659380046
  NPD (past)

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1700483799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHELSEA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104127",
            "telephone_number": "646-465-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRY PEDIATRICS, PEDIATRIC NURSE PRACTITIONER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-03",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "SHINDELMAN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-465-3055",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DME Orthosupplystore, LLC
• DME Supply Pro Corp
• Dmitriy Volotsenko Dental, P.C.
• Yelena Dmitriyeva, RN
• Dmitry Donsky Physician, PC
• DML Acupuncture PC
• Jolanta Dmochowska, M.D.,D.O,
• Albert Dmochowski, PT,DPT
• Diana Dmonte, PA-C
• DMS RX Inc

• Pediatric Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.