Individual provider Active NPI

Artem Pinkhasov, P.A.C

  • Surgical Physician Assistant
  • Bayside, NY
National Provider Identifier
1740527845
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0162681 Issued in NY
Practice address
4232 Francis Lewis Blvd Lowr Level
Bayside, NY 11361-2561
Phone
(718) 750-1665
NPI assigned
Jan 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0162681 NY Primary

Addresses

Primary practice location

4232 Francis Lewis Blvd Lowr Level
Bayside, NY 11361-2561

Mailing address

4232 Francis Lewis Blvd Lowr Level
Bayside, NY 11361-2561
Phone (718) 750-1665

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608000618 NY Practitioner - Physician Assistant 3173844800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcjonathan Serota MD, P.C.Group PAC ID 7719350073, 3 clinicians

Practice addresses (Care Compare)

4232 Francis Lewis Blvd
Bayside, NY 11361-2561
Phone (718) 750-1665

601 W 163Rd St
New York, NY 10032-5632
Phone (212) 433-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016268NYMDMental Health Counselor
016268-1NYMDOccupational Therapist
0162681NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kwon Podiatry PC PastSince Jul 28, 2022 Accepting new patients

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: apinkhasov@skinfirstderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1740527845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 FRANCIS LEWIS BLVD LOWR LEVEL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612561",
            "telephone_number": "718-750-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 FRANCIS LEWIS BLVD LOWR LEVEL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612561",
            "telephone_number": "718-750-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKHASOV",
        "first_name": "ARTEM",
        "credential": "P.A.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "0162681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.