Individual provider Active NPI

Viktoriya Aleksandrovich, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1962573121
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230654 Issued in NY
Practice address
3080 W 1St St
Suite 102
Brooklyn, NY 11224-3703
Phone
(718) 207-7071
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 230654 NY Primary

Addresses

Primary practice location

3080 W 1St St
Suite 102
Brooklyn, NY 11224-3703

Mailing address

501 Surf Ave
Apt 9F
Brooklyn, NY 11224-3550
Phone (718) 373-2010

Other identifiers 1

IdentifierTypeStateIssuer
02512554MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000574 NY Practitioner - Internal Medicine 4789673831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3080 W 1St St
Suite 102
Brooklyn, NY 11224-3703
Phone (718) 207-7071

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
23.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions52
Skin biopsy38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230654NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
V Aleksandrovich Medical, PC Internal Medicine CurrentSince Dec 1, 2006 Accepting new patients
Hospice Agency of NJ, Inc. CurrentSince May 24, 2017 Accepting new patients

Locations

3080 W 1st St
Ste 102
Brooklyn, NY 11224
Phone (718) 207-7071

2263 E 15th St
Brooklyn, NY 11229
Phone (347) 554-8580

Networks

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

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1962573121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SURF AVE",
            "address_2": "APT 9F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243550",
            "telephone_number": "718-373-2010",
            "fax_number": "718-645-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 W 1ST ST",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243703",
            "telephone_number": "718-207-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEKSANDROVICH",
        "first_name": "VIKTORIYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.