Dmitry D Gorelik, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA09799700 Issued in NJ

Practice address

197 Wyckoff Ave
Wyckoff, NJ 07481-2548

Phone

(646) 331-9154

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
• Humboldt County Memorial Hospital Hospital, Humboldt, IA, CCN 161334
• Pocahontas Community Hospital Hospital, Pocahontas, IA, CCN 161305
• Stewart Memorial Community Hospital Hospital, Lake City, IA, CCN 161350
• Loring Hospital Hospital, Sac City, IA, CCN 161370

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: dgorelik1154843@direct.unitypoint.org

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.

• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156

  NJ

  Medicare reassignment Care Compare group NPD
• Eoh Acquisition Group, LLC

  dba East Orange General Hospital

  • General Practice Physician
  • East Orange, NJ
  • NPI 1578922258
  Medicare reassignment NPD
• Bronx Medical Practice P.C.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1356726087
  Medicare reassignment NPD
• Essen Medical Associates, PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1366418709
  Medicare reassignment NPD
• House Call Medical Services of New York, PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1851345946
  Medicare reassignment NPD
• Long Island Minimally Invasive Surgery, P.C.

  • Specialist
  • Roslyn Heights, NY
  • NPI 1356545867
  Medicare reassignment NPD
• Eoh Acquisition Group, LLC

  dba CareWell Health Medical Center

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  NPD
• Eoh Acquisition Group, LLC

  dba East Orange General Hospital

  • Primary Care Clinic/Center
  • East Orange, NJ
  • NPI 1578932604
  NPD
• Essen Medical Associates, PC

  • Podiatrist
  • Bronx, NY
  • NPI 1720799158
  NPD
• Essen Medical Associates,PC

  • Legal Medicine (M.D./D.O.) Physician
  • Jamaica, NY
  • NPI 1700023926
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Harmony Medical Care, PC

  • Allergy Physician
  • Staten Island, NY
  • NPI 1164151627
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Humboldt County Memorial Hospital

  • Critical Access Hospital
  • Humboldt, IA
  • NPI 1194702977
  Care Compare affiliation
• Loring Hospital

  • Critical Access Hospital
  • Sac City, IA
  • NPI 1144378621
  Care Compare affiliation
• Pocahontas Community Hospital

  • Critical Access Hospital
  • Pocahontas, IA
  • NPI 1346241213
  Care Compare affiliation
• Stewart Memorial Community Hospital

  • Critical Access Hospital
  • Lake City, IA
  • NPI 1063497188
  Care Compare affiliation
• Trinity Regional Medical Center

  dba UnityPoint Health Trinity Regional Medical Center

  • General Acute Care Hospital
  • Fort Dodge, IA
  • NPI 1487759858
  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1942375654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 WYCKOFF AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 WYCKOFF AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812548",
            "telephone_number": "646-331-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112302039",
            "country_code": "US",
            "telephone_number": "718-975-3369",
            "fax_number": "718-228-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORELIK",
        "first_name": "DMITRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "2383000-1",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA09799700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Goldberg
• Gratsiana Golin, M.D.
• Marion Kuenzle Gonzales, CCC-SLP
• Gary Victor Goodmark, D.C.
• Samantha Gootman
• Ruchi Goswami
• Gail Joan Gozza, LCSW
• Jennifer Maria Graf, P.T.
• Samantha Granite
• Alexander Grant, MD

• Cardiovascular Disease Physician in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.