NPIMap

Organization Active NPI

Victory Medical Rehab, P.C.

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1942639976
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
167572 Issued in NY
Legal business name
VICTORY MEDICAL REHAB, P.C.
Practice address
1659 78TH St
Suite 2D
Brooklyn, NY 11214-1011
Phone
(718) 234-1212
Fax
(718) 234-1164
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Yekaterina Fill Slukhinsky, MD
Title
Director
Phone
(718) 234-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 167572 NY Primary

Addresses

Primary practice location

1659 78TH St
Suite 2D
Brooklyn, NY 11214-1011

Mailing address

1659 78TH St
Suite 2D
Brooklyn, NY 11214-1011
Phone (718) 234-1212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1942639976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 78TH ST",
            "address_2": "SUITE 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141011",
            "telephone_number": "718-234-1212",
            "fax_number": "718-234-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 78TH ST",
            "address_2": "SUITE 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141011",
            "telephone_number": "718-234-1212",
            "fax_number": "718-234-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "SLUKHINSKY",
        "authorized_official_first_name": "YEKATERINA",
        "authorized_official_middle_name": "FILL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-234-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "167572",
            "primary": true
        }
    ],
    "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 Nov 12, 2013; 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.