Individual provider Active NPI

Sergey Kalitenko

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1740295278
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211326-1 Issued in NY
Practice address
1701 Quentin Rd Ste 201
Brooklyn, NY 11229-1269
Phone
(718) 982-9200
Fax
(716) 221-8626
NPI assigned
Jul 31, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211326-1 NY Primary

Addresses

Primary practice location

1701 Quentin Rd Ste 201
Brooklyn, NY 11229-1269

Mailing address

2952 Brighton 3Rd St Ste 201
Brooklyn, NY 11235-7078

Other practice location 1

8295 N Military TRL
Ste G
West Palm Beach, FL 33410-6312
Phone (718) 382-9200

Other identifiers 1

IdentifierTypeStateIssuer
01884413MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031222000141 NY Practitioner - Internal Medicine 9234037870 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20210901000574 FL Practitioner - Internal Medicine 9234037870 Practice locations: West Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 Quentin Rd
Suite A7
Brooklyn, NY 11229-1284
Phone (718) 382-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211326-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Medical Care Ny PLLC CurrentSince Jan 1, 2022 Accepting new patients
University Group Medical Associates, P.C Internal Medicine Past Accepting new patients

Locations

1009 Brighton Beach Ave
Ste 2
Brooklyn, NY 11235
Phone (718) 231-4123

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1740295278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3RD ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357078",
            "fax_number": "716-221-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 QUENTIN RD STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291269",
            "telephone_number": "718-982-9200",
            "fax_number": "716-221-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8295 N MILITARY TRL",
            "address_2": "STE G",
            "address_purpose": "LOCATION",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106312",
            "country_code": "US",
            "telephone_number": "718-382-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALITENKO",
        "first_name": "SERGEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211326-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01884413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.