Active NPI
Alexander Pinkusovich, MD
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1801850003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 205917
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004609 | Other | NY | CIGNA |
| 9134307 | Other | NY | PHCS |
| 11-3552139 | Other | NY | 1199 NBF |
| P886909 | Other | NY | OXFORD |
| 01717582 | Medicaid | NY | |
| 87M431 | Other | NY | EMPIRE BC/BS |
| 11-3552139 | Other | NY | MAGNACARE |
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
Enrollment records 1
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
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205917 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of Healing Medicine PC | Psychiatry | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.