DR. DMITRY KONSTANTINOVICH NESEN (NPI# 1295886612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295886612 |
| Entity Type | Individual |
| Full Name | DR. DMITRY KONSTANTINOVICH NESEN |
| Credential | M.D. |
| Practice Address |
1420 York Ave Apt 1a New York NY 10021-3150 |
| Mailing Address |
21 Leatherstocking Ln Mamaroneck NY 10543-1115 |
| Practice Telephone | 2122892571 |
| Practice Fax Number | 2122892579 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
220676 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1420 YORK AVE APT 1A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932342912 | Chelsea West Physical Therapy Pllc | Physical Medicine & Rehabilitation | 134 W 29th St Rm 1008, New York, NY 10001-5663 | 2009-04-07 |
| 1306082045 | Jignyasa Desai | Physical Medicine & Rehabilitation | 32 West 38 Th Street Suite 501, New York, NY 10001 | 2008-12-31 |
| 1003051251 | Helen Suguitan Oller | Physical Medicine & Rehabilitation | 506 Lenox Ave Rm 3123, New York, NY 10037-1802 | 2008-12-02 |
| 1306010129 | Thomas Sunil Mathew | Physical Medicine & Rehabilitation | 265 Madison Ave, 4th Floor, New York, NY 10016 | 2008-04-14 |
| 1366624793 | New York Neuro Rehabilitation Group Pllc | Physical Medicine & Rehabilitation | 508 W 26th St, 10 Floor, New York, NY 10001-5504 | 2007-11-27 |
| 1982801874 | Pradeep Penta | Physical Medicine & Rehabilitation | 317 E 34th St Fl 9, Murray Hill Medical Group, New York, NY 10016-4974 | 2007-07-02 |
| 1952506792 | Grand Central Physical Medicine&rehabilitation PC | Physical Medicine & Rehabilitation | 315 Madison Ave Rm 702, New York, NY 10017-5434 | 2007-06-20 |
| 1447381538 | Grand Street Medicine & Rehabilitation P C | Physical Medicine & Rehabilitation | 460 Grand St, New York, NY 10002-4058 | 2007-03-08 |
| 1992712640 | Alicia R Carter | Physical Medicine & Rehabilitation | 425 Madison Ave Fl 11, New York, NY 10017-1134 | 2006-08-02 |
| 1770590929 | Joel Press | Physical Medicine & Rehabilitation | 429 East 75th Street, 3rd Floor, New York, NY 10021 | 2006-08-01 |
| Find all providers in NEW YORK | ||||
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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.