Active NPI
Goncharov Medical, P.C.
- Obstetrics & Gynecology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 269283
- Legal business name
- GONCHAROV MEDICAL, P.C.
- Practice address
- 225 Saint Johns PL # Placec
Brooklyn, NY 11217-3405 - Phone
- (718) 517-8833
- Fax
- (646) 843-7617
- NPI assigned
- Feb 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dimitry Goncharov
- Title
- President
- Phone
- (212) 201-1217
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 269283 | NY | Primary |
Addresses
Primary practice location
225 Saint Johns PL # Placec
Brooklyn, NY 11217-3405
Mailing address
225 Saint Johns PL # Placec
Brooklyn, NY 11217-3405
Phone (718) 517-8833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2276047 | Goncharov Medical PC | Certificate of waiver | Jan 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
225 Saint Johns Pl
Brooklyn, NY 11217
Phone (718) 517-8833
274 Madison Ave
Rm 300
New York, NY 10016
Phone (212) 201-1217
1221 Lexington Ave
New York, NY 10028
Phone (212) 201-1217
32 W 20th St
New York, NY 10011
Phone (212) 201-1217
12 E 53rd St
New York, NY 10022
Phone (212) 201-1217
151 W 30th St
Ste 403
New York, NY 10001
Phone (212) 201-1217
Practitioners & affiliated clinicians
Practitioners 31
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1457657280
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1679193890
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1134703358
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1114551553
-
- Maternal & Fetal Medicine Physician
- New York, NY
- NPI 1245264761
Obstetrics & Gynecology
-
- Obstetrics Physician
- Brooklyn, NY
- NPI 1043309834
-
- Gynecology Physician
- New York, NY
- NPI 1609845866
-
- Obstetrics Physician
- New York, NY
- NPI 1164080800
-
- Advanced Practice Midwife
- New York, NY
- NPI 1255716908
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1295229375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1831580091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 SAINT JOHNS PL # PLACEC",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173405",
"telephone_number": "718-517-8833",
"fax_number": "347-529-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SAINT JOHNS PL # PLACEC",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173405",
"telephone_number": "718-517-8833",
"fax_number": "646-843-7617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GONCHAROV MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-10",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "GONCHAROV",
"authorized_official_first_name": "DIMITRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-201-1217"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "269283",
"primary": true
}
],
"identifiers": [],
"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 Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.