Individual provider Active NPI

Gennady Ukrainsky, M.D.

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1700845187
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
234912 Issued in NY
Practice address
10812 72ND Ave
3Rd Floor
Forest Hills, NY 11375-7079
Phone
(718) 544-9300
Fax
(718) 544-9301
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 234912 NY Primary

Addresses

Primary practice location

10812 72ND Ave
3Rd Floor
Forest Hills, NY 11375-7079

Mailing address

PO Box 2625
New York, NY 10009-8925
Phone (914) 471-3422

Other identifiers 1

IdentifierTypeStateIssuer
02661567MedicaidNY

Other names 1

  • Dr. Gene Ukrainsky Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050512000917 NY Practitioner - Otolaryngology 1850332511 Reassigns benefits to 2 organizations
I20211012000351 NJ Practitioner - Otolaryngology 1850332511
I20220312000113 FL Practitioner - Otolaryngology 1850332511

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gennady Ukrainsky, MD PCGroup PAC ID 9436215092, 2 clinicians

Practice addresses (Care Compare)

2560 Ocean Ave
FL 2
Brooklyn, NY 11229-4507
Phone (718) 646-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234912NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Physician Services PC CurrentSince Jan 25, 2022 Accepting new patients
Gennady Ukrainsky MD PC CurrentSince Jun 1, 2005 Accepting new patients
Facial Plastic Surgery Otolaryngology LLC Specialist Past Accepting new patients

Locations

2560 Ocean Ave
#2
Brooklyn, NY 11229
Phone (212) 979-4771

10812 72nd Ave
Ste 3
Forest Hills, NY 11375
Phone (718) 384-6933

310 E 14th St
Fl 6
New York, NY 10003
Phone (212) 979-4200

153 W 27th St
Ste 1100
New York, NY 10001
Phone (833) 947-4927

500 Fashion Ave
New York, NY 10018
Phone (212) 642-3451

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gukrainsky@direct.nyee-provider.mountsinai.org

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1700845187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2625",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098925",
            "telephone_number": "914-471-3422",
            "fax_number": "646-928-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10812 72ND AVE",
            "address_2": "3RD FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757079",
            "telephone_number": "718-544-9300",
            "fax_number": "718-544-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKRAINSKY",
        "first_name": "GENNADY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "234912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02661567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENE",
            "last_name": "UKRAINSKY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.