Organization Active NPI

Yevgeniya Karmazin Medical PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1790775070
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
198112 Issued in NY
Legal business name
YEVGENIYA KARMAZIN MEDICAL PC
Practice address
3084 Brighton 13TH St
Brooklyn, NY 11235-5608
Phone
(718) 891-5100
Fax
(718) 891-8810
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Yevgeniya Karmazin, M.D.NPI 1124166152
Title
President
Phone
(718) 891-5100

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 198112 NY Primary

Addresses

Primary practice location

3084 Brighton 13TH St
Brooklyn, NY 11235-5608

Mailing address

2 Birch Dr
Hewlett, NY 11557-2615
Phone (516) 374-0974

Other identifiers 1

IdentifierTypeStateIssuer
01549926MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080612000806 NY Part B Supplier - Clinic/Group Practice 5496826869 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1790775070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BIRCH DR",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572615",
            "telephone_number": "516-374-0974",
            "fax_number": "516-374-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 BRIGHTON 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355608",
            "telephone_number": "718-891-5100",
            "fax_number": "718-891-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGENIYA KARMAZIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "KARMAZIN",
        "authorized_official_first_name": "YEVGENIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-891-5100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "198112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01549926",
            "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 Apr 25, 2008; 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.

Verify at the official NPI Registry.