Diagnostic Neurology PC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

DIAGNOSTIC NEUROLOGY PC

Practice address

2797 Ocean Pkwy
2 Floor
Brooklyn, NY 11235-7868

Phone

(718) 576-1212

Fax

(718) 332-7110

NPI assigned

Jun 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sergey Zhivotenko, MDNPI 1154348092

Title

President

Phone

(516) 791-0761

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Diagnostic Neurology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diagnostic Neurology PC

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1609069657
  NPD tax ID

Practitioners 2

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

• Sergey Zhivotenko, MD

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1154348092
  Medicare reassignment NPD Authorized official
• Alex Bernstein, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1366753410
  NPD (past)

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1811192248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LOTUS OVAL N",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812327",
            "telephone_number": "516-791-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 OCEAN PKWY",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357868",
            "telephone_number": "718-576-1212",
            "fax_number": "718-332-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ZHIVOTENKO",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-791-0761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02677663",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aminata Diagne
• Diagnostic & Interventional Cardiac SVCS, PC
• Diagnostic Cardiology Associates PC
• Diagnostic Medical Imaging PLLC
• Diagnostic Neurology PC
• Diagnostics in Totality Inc
• Faith Diahn
• Stacy A. Diakoumakos, RPH
• Marla Diakow
• Delia Diala

• Clinical Neurophysiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Neurophysiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.