Boris Markovich Petrikovsky, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

163782 Issued in NY

Practice address

2201 Hempstead Tpke
Medical Staff Office Box 42
East Meadow, NY 11554

Phone

(516) 572-6255

Fax

(516) 572-3124

NPI assigned

Mar 1, 2006

Last updated

Sep 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bethpage Medical PLLCGroup PAC ID 3375692387, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bethpage Medical, PLLC

  • Obstetrics & Gynecology Physician
  • Garden City, NY
  • NPI 1205074739
  Medicare reassignment Care Compare group NPD
• Nsuh Plainview Physicians Ufp Corporation

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1508750332

  Maternal & Fetal Medicine

  Medicare reassignment NPD
• Pediatrix Medical Group of Florida Inc

  • Pediatric Cardiology Physician
  • Sunrise, FL
  • NPI 1083711790

  Maternal & Fetal Medicine

  Medicare reassignment NPD
• Ny Downtown Faculty Practice Opd

  • Family Medicine Physician
  • New York, NY
  • NPI 1396780581
  NPD (past)
• Ny Downtown OB GYN Associates

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1902963465
  NPD (past)
• Orlin & Cohen Orthopedic Associates, LLP

  • Orthopaedic Surgery Physician
  • Rockville Centre, NY
  • NPI 1649246216
  NPD (past)
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1801863659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6255",
            "fax_number": "516-572-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "address_2": "MEDICAL STAFF OFFICE BOX 42",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-572-6255",
            "fax_number": "516-572-3124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17070 Collins Ave Ste 257",
            "address_purpose": "LOCATION",
            "city": "Sunny Isles Beach",
            "state": "FL",
            "postal_code": "331603635",
            "country_code": "US",
            "telephone_number": "305-306-0000",
            "fax_number": "305-306-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRIKOVSKY",
        "first_name": "BORIS",
        "middle_name": "MARKOVICH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "163782",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "163782-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01087425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Perry, D.P.T.
• Sherae Perry, MEDICAL ASSISTANT
• Joseph Pesce Jr.
• Peter J Lesniewski MD PC
• Kenneth H Petersel, M.D.
• Andrew Michael Philip, MD
• Reena NA Philip, NP
• Stephen Michael Picca, M.D.
• Gabrielle Piccolo, PA-C
• Madone Pierre-Louis, RN

• Maternal & Fetal Medicine Physician in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Maternal & Fetal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.

Verify at the official NPI Registry.