Individual provider Active NPI

Alexander Ovchinsky, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1871554469
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
215154 Issued in NY
Practice address
2560 Ocean Ave
2FL
Brooklyn, NY 11229-4507
Phone
(718) 646-1234
Fax
(718) 646-1235
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 215154 NY Primary

Addresses

Primary practice location

2560 Ocean Ave
2FL
Brooklyn, NY 11229-4507

Mailing address

PO Box 2625
New York, NY 10009-8925
Phone (914) 222-0828

Other identifiers 1

IdentifierTypeStateIssuer
1871554469OtherNYNPI

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
I20040322001955 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2567353212 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20110106000523 NJ Practitioner - Otolaryngology 2567353212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York Downstate Medical Center, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Facial Plastic Surgery Otolaryngology LLCGroup PAC ID 6305855784, 3 clinicians

Practice addresses (Care Compare)

1046 S Orange Ave
Short Hills, NJ 07078-3131
Phone (973) 379-0101

2560 Ocean Ave
FL 2
Brooklyn, NY 11229-4507
Phone (718) 646-1234

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215154NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Facial Plastic Surgery Otolaryngology LLC Specialist CurrentSince Jul 1, 2004 Accepting new patients
Baljeet K Purewal, MD, LLC CurrentSince Nov 13, 2019 Accepting new patients

Locations

1046 S Orange Ave
Short Hills, NJ 07078
Phone (973) 379-0101

2560 Ocean Ave
#2
Brooklyn, NY 11229
Phone (212) 979-4771

Networks

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

Interoperability endpoints

  • Direct secure messaging: aovchinsky@direct.nyee-provider.mountsinai.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1871554469",
    "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": "914-222-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 OCEAN AVE",
            "address_2": "2FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294507",
            "telephone_number": "718-646-1234",
            "fax_number": "718-646-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVCHINSKY",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "215154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871554469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.