Individual provider Active NPI

Rozaliya Vernikov, M.D.

  • Psychiatry Physician
  • Glen Cove, NY
National Provider Identifier
1740362433
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
195608 Issued in NY
Practice address
70 Forest Ave
Glen Cove, NY 11542-2117
Phone
(516) 671-0432
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 195608 NY Primary

Addresses

Primary practice location

70 Forest Ave
Glen Cove, NY 11542-2117

Mailing address

84 Chicken Valley Rd
Glen Head, NY 11545-2104
Phone (516) 671-4330

Other identifiers 1

IdentifierTypeStateIssuer
01567091MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070413000037 NY Practitioner - Psychiatry 2163527565 Reassigns benefits to 3 organizations
Practice locations: Glen Cove, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (631) 675-4550

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone (516) 822-6111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195608NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Sep 6, 1995 Accepting new patients
Central Nassau Guidance & Counseling Services, Inc. Psychiatry CurrentSince May 26, 2018 Accepting new patients
North Shore-Lij Medical PC CurrentSince Apr 1, 2016 Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients
Catholic Charities Neigborhood Services PastSince Nov 10, 2019 Accepting new patients
Medical Care of L.I., P.C, PastSince Apr 1, 2010 Accepting new patients

Locations

191 Joralemon St
Brooklyn, NY 11201
Phone (718) 722-6000

191 Joralemon St
Fl 11
Brooklyn, NY 11201

1329 Beach Channel Dr
Far Rockaway, NY 11691
Phone (718) 337-6800

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

950 S Oyster Bay Rd
Hicksville, NY 11801

300 Community Dr
Plandome, NY 11030

Networks

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

Organizations & group practices 6

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 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740362433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CHICKEN VALLEY RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452104",
            "telephone_number": "516-671-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422117",
            "telephone_number": "516-671-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNIKOV",
        "first_name": "ROZALIYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "195608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01567091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.