Active NPI
Evgeny Fink Psychiatric PC
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1770857047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 255017
- Legal business name
- EVGENY FINK PSYCHIATRIC PC
- Practice address
- 3044 Coney Island Ave
Suite 201
Brooklyn, NY 11235-5660 - Phone
- (347) 404-2413
- NPI assigned
- Mar 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evgeny Fink, MD
- Title
- Psychiatrist
- Phone
- (347) 404-2413
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 255017 | NY | Primary |
Addresses
Primary practice location
3044 Coney Island Ave
Suite 201
Brooklyn, NY 11235-5660
Mailing address
2691 E 23Rd St
Unit 2
Brooklyn, NY 11235-2825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03205465 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3044 Coney Island Ave
Ste 201
Brooklyn, NY 11235
Phone (347) 404-2413
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1306006846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330732800000",
"number": "1770857047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2691 E 23RD ST",
"address_2": "UNIT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 CONEY ISLAND AVE",
"address_2": "SUITE 201",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355660",
"telephone_number": "347-404-2413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVGENY FINK PSYCHIATRIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-03",
"last_updated": "2012-03-03",
"status": "A",
"authorized_official_last_name": "FINK",
"authorized_official_first_name": "EVGENY",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "347-404-2413",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "255017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03205465",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.