Individual provider Active NPI

Maksim Khelemsky, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1982705067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044836 Issued in NY
Practice address
270 Avenue P
First Floor
Brooklyn, NY 11204-4947
Phone
(718) 375-9090
Fax
(718) 375-6618
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044836 NY Primary

Addresses

Primary practice location

270 Avenue P
First Floor
Brooklyn, NY 11204-4947

Mailing address

270 Avenue P
First Floor
Brooklyn, NY 11204-4947
Phone (718) 375-9090

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020001916 NY Practitioner - Dentist 1658747464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

270 Ave P
Brooklyn, NY 11204-4947
Phone (718) 375-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044836NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gama Dental PC General Practice CurrentSince May 21, 2022 Accepting new patients
Gama Medical PC PastSince Oct 20, 2009 Accepting new patients

Locations

270 Avenue P
Brooklyn, NY 11204
Phone (718) 375-9090

270 Avenue P
#1
Brooklyn, NY 11204
Phone (718) 375-9090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982705067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 AVENUE P",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044947",
            "telephone_number": "718-375-9090",
            "fax_number": "718-375-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 AVENUE P",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044947",
            "telephone_number": "718-375-9090",
            "fax_number": "718-375-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHELEMSKY",
        "first_name": "MAKSIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.