Active NPI
Gennady Ukrainsky MD PC
- Otolaryngology Physician
- Forest Hills, NY
National Provider Identifier
1841486545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- GENNADY UKRAINSKY MD PC
- Practice address
- 108-12 72ND Ave
3Rd Floor
Forest Hills, NY 11375-7080 - Phone
- (718) 544-9300
- Fax
- (718) 544-9301
- NPI assigned
- Sep 18, 2007
- 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
- Emily Lam
- Title
- Credentialing
- Phone
- (914) 471-3422
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | NY | Primary | |
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
108-12 72ND Ave
3Rd Floor
Forest Hills, NY 11375-7080
Mailing address
PO Box 2625
New York, NY 10009-8925
Phone (914) 471-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10812 72nd Ave
Ste 3
Forest Hills, NY 11375
Phone (718) 384-6933
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Brooklyn, NY
- NPI 1043613029
-
- Specialist
- Forest Hills, NY
- NPI 1700845187
-
- Facial Plastic Surgery Physician
- Forest Hills, NY
- NPI 1346398690
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486425600000",
"number": "1841486545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2625",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100098925",
"telephone_number": "914-471-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108-12 72ND AVE",
"address_2": "3RD FLOOR",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757080",
"telephone_number": "718-544-9300",
"fax_number": "718-544-9301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENNADY UKRAINSKY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2017-02-07",
"status": "A",
"authorized_official_last_name": "LAM",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "914-471-3422"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.