Active NPI
Gennady Ukrainsky, M.D.
- Specialist
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 234912
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02661567 | Medicaid | NY |
Other names 1
- Dr. Gene Ukrainsky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234912 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristate Physician Services PC | Current | Accepting new patients | |
| Gennady Ukrainsky MD PC | Current | 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
- 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.
-
- Otolaryngology Physician
- Forest Hills, NY
- NPI 1841486545
-
dba Tristate Ziphycare Medical
- Internal Medicine Physician
- New York, NY
- NPI 1154075976
-
- Specialist
- Brooklyn, NY
- NPI 1356361794
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.