Individual provider Active NPI

Alexander Pinkusovich, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1801850003
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
205917 Issued in NY
Practice address
2965 Ocean Pkwy Ste 5a
Brooklyn, NY 11235-8024
Phone
(718) 680-1600
Fax
(718) 680-4473
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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 205917 NY Primary

Addresses

Primary practice location

2965 Ocean Pkwy Ste 5a
Brooklyn, NY 11235-8024

Mailing address

2965 Ocean Pkwy
Ste 5a
Brooklyn, NY 11235-8024
Phone (718) 680-1600

Other identifiers 7

IdentifierTypeStateIssuer
2004609OtherNYCIGNA
9134307OtherNYPHCS
11-3552139OtherNY1199 NBF
P886909OtherNYOXFORD
01717582MedicaidNY
87M431OtherNYEMPIRE BC/BS
11-3552139OtherNYMAGNACARE

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
I20100408000005 NY Practitioner - Psychiatry 3375584279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Art of Healing Medicine PCGroup PAC ID 7416847710, 2 clinicians

Practice addresses (Care Compare)

2965 Ocean Pkwy
Suite 5a
Brooklyn, NY 11235-8024
Phone (718) 680-3875

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205917NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Healing Medicine PC Psychiatry CurrentSince Apr 21, 2000 Accepting new patients

Locations

8712 4th Ave
Brooklyn, NY 11209
Phone (718) 530-1155

8712 4th Ave
#1
Brooklyn, NY 11209
Phone (718) 333-1394

1840 E 14th St
Brooklyn, NY 11229
Phone (347) 286-1383

Organizations & group practices 1

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1801850003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 OCEAN PKWY",
            "address_2": "STE 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358024",
            "telephone_number": "718-680-1600",
            "fax_number": "718-680-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 OCEAN PKWY STE 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358024",
            "telephone_number": "718-680-1600",
            "fax_number": "718-680-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKUSOVICH",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "205917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2004609",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9134307",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NBF",
            "identifier": "11-3552139",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P886909",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01717582",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "87M431",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "11-3552139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.