Organization Active NPI

Platinum Care Medical PLLC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1851609101
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PLATINUM CARE MEDICAL PLLC
Practice address
8201 Bay Pkwy
Unit 1E
Brooklyn, NY 11214-2663
Phone
(516) 507-8975
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Sergey Zhivotenko, M.D.NPI 1154348092
Title
President
Phone
(516) 507-8975

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

8201 Bay Pkwy
Unit 1E
Brooklyn, NY 11214-2663

Mailing address

81 Lotus Oval N
Valley Stream, NY 11581-2327

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1851609101",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 BAY PKWY",
            "address_2": "UNIT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142663",
            "telephone_number": "516-507-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM CARE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "ZHIVOTENKO",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-507-8975",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.