Organization Active NPI

Dr. Kushnerik Medical P.C.

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1912305723
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DR. KUSHNERIK MEDICAL P.C.
Practice address
124 E 40TH St
New York, NY 10016-1723
Phone
(718) 422-5023
Fax
(718) 422-5025
NPI assigned
Dec 10, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Dr. Vadim Kushnerik, M.D.NPI 1740244771
Title
Physician
Phone
(718) 807-6995

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NY Primary

Addresses

Primary practice location

124 E 40TH St
New York, NY 10016-1723

Mailing address

101 Indiana PL
Brooklyn, NY 11234-6906
Phone (718) 807-6995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1912305723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 INDIANA PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346906",
            "telephone_number": "718-807-6995",
            "fax_number": "718-422-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 40TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161723",
            "telephone_number": "718-422-5023",
            "fax_number": "718-422-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KUSHNERIK MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "KUSHNERIK",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-807-6995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.