BRIGHTON BEACH MEDICAL OF NEW YORK, LLC (NPI# 1295194504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295194504 |
| Entity Type | Organization |
| Organization Name | BRIGHTON BEACH MEDICAL OF NEW YORK, LLC |
| Practice Address |
2965 Ocean Pkwy Brooklyn NY 11235-8014 |
| Mailing Address |
304 Wainwright Dr Northbrook IL 60062-1900 |
| Practice Telephone | 7183011100 |
| Practice Fax Number | 2242468042 |
| Mailing Telephone | 8472571244 |
| Mailing Fax Number | 2242468042 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | FLORA KATSNELSON (DIRECTOR) |
| Authorized Official Telephone | 8472571244 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
2965 OCEAN PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415537 | Ilona Genis | Ophthalmology | 2965 Ocean Pkwy, Ste 4, Brooklyn, NY 11235-8024 | 2005-05-27 |
| 1023282803 | Radiology Today,p.c. | Radiologic Technologist | 2965 Ocean Pkwy, Bsmnt Floor, Brooklyn, NY 11235-8014 | 2008-04-14 |
| 1043498769 | Mark Gventer Dpm, PC | Podiatrist | 2965 Ocean Pkwy, Suite # 403, Brooklyn, NY 11235-8014 | 2008-02-05 |
| 1851516736 | Modern Image of Ny | Durable Medical Equipment & Medical Supplies | 2965 Ocean Pkwy, 507, Brooklyn, NY 11235-8014 | 2007-04-16 |
| 1982628004 | Lsr Advanced Medical Care Pllc | Specialist | 2965 Ocean Pkwy, 1 Floor, Brooklyn, NY 11235-8014 | 2006-07-26 |
| 1700805876 | Ocean Breeze Medical P.C. | Internal Medicine | 2965 Ocean Pkwy, Suite 304, Brooklyn, NY 11235-8014 | 2006-07-19 |
| 1316924715 | Alexander Shekhter | Internal Medicine | 2965 Ocean Pkwy, Suite 304, Brooklyn, NY 11235-8014 | 2005-12-27 |
| 1821093840 | Mark Gventer | Podiatrist | 2965 Ocean Pkwy, Ste 403, Brooklyn, NY 11235-8014 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| 1720565922 | Bushwick Medical of New York LLC | Surgery | 441 Knickerbocker Ave Ste B, Brooklyn, NY 11237-4508 | 2018-07-20 |
| 1043752785 | Starrett City Medical of New York LLC | Surgery | 924 Flatbush Ave, Brooklyn, NY 11226-4018 | 2016-11-11 |
| 1801207071 | Melissa Jennifer Baldwin | Surgery | 3131 Kings Hwy # Ll-07, Brooklyn, NY 11234 | 2014-05-09 |
| 1457629941 | Anukware Ketosugbo, Md, PC | Surgery | 20 Plaza Steet East, Brooklyn, NY 11238 | 2011-12-12 |
| 1568789469 | Hemal J Shah | Surgery | 476 7th St, Brooklyn, NY 11215-3613 | 2010-05-01 |
| 1659541886 | Michael Bezuevsky | Surgery | 3049 Ocean Parkway, Second Floor, Brooklyn, NY 11235 | 2008-03-04 |
| 1427278407 | Alexander Shiferson | Surgery | 903 49th St, Brooklyn, NY 11219-2923 | 2007-05-01 |
| 1710037627 | Jagannath Singh | Surgery | 8769 14th Ave, Brooklyn, NY 11228-3803 | 2007-01-11 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.