Vladislav Kuznetsov, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

007745 Issued in NY

Practice address

30 Ridge Loop
Staten Island, NY 10304-1403

Phone

(917) 836-7374

Fax

(718) 865-4255

NPI assigned

Jan 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Kochman, Lebowitz & Mogil, MD's, LLP

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1275542177
  NPD

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1972741023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RIDGE LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041403",
            "telephone_number": "917-836-7374",
            "fax_number": "718-865-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RIDGE LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041403",
            "telephone_number": "917-836-7374",
            "fax_number": "718-865-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNETSOV",
        "first_name": "VLADISLAV",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Kushnirskaya, OTR/L
• Ajibola Kutti, NP
• Liliia Kuziuk
• Marcin Kuzma, M.D.
• Angela J Kuzmicki, RN
• Olesya Kvasov
• Syng Yong Kwak, MD
• Amanda Kwasny
• Angela C Kwok
• Michelle Kwok, OTR/L

• Physician Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.