Individual provider Active NPI

Victoria Dantchenko, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1811220924
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253900 Issued in NY
Practice address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone
(718) 250-8567
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 253900 NY Primary

Addresses

Primary practice location

121 Dekalb Ave
Brooklyn, NY 11201-5425

Mailing address

240 Willoughby St
Suite 9D
Brooklyn, NY 11201-5465
Phone (718) 250-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20100311000504 NY Practitioner - Family Practice 8921143215 Reassigns benefits to 1 organization
I20140106001158 NJ Practitioner - Family Practice 8921143215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TBHC Medical Services PCGroup PAC ID 1850281916, 33 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

Hospital & facility affiliations

  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TBHC Medical Services PC Family Medicine CurrentSince Jan 27, 2010 Accepting new patients
Excel Urgent Care of Paramus LLC CurrentSince Aug 24, 2014 Accepting new patients
Doctors Office of Brick CurrentSince Oct 19, 2013 Accepting new patients
TBHC Physician Services PC PastSince May 15, 2026 Accepting new patients
TBHC Pediatric Services PC PastSince Jan 1, 2016 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

110 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 265-9500

1280 DeKalb Ave
Brooklyn, NY 11221
Phone (718) 455-9000

99 Division Ave
Brooklyn, NY 11249
Phone (718) 349-8500

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

523 Fulton St
Ste 2
Brooklyn, NY 11201
Phone (718) 250-8425

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

Networks

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

Interoperability endpoints

  • Direct secure messaging: vdantchenko8927@prd.direct.tbh.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1811220924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 9D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-250-8444",
            "fax_number": "718-250-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTCHENKO",
        "first_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.