Active NPI
Dr. Kushnerik Medical P.C.
- Ambulatory Surgical Clinic/Center
- New York, NY
National Provider Identifier
1912305723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2014
- 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
- Dr. Vadim Kushnerik, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1740244771
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": []
}
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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.