ALEXANDER DEMIDENKO (NPI# 1356542591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356542591 |
| Entity Type | Individual |
| Full Name | ALEXANDER DEMIDENKO |
| Credential | D.O. |
| Practice Address |
2004 Seagirt Blvd Basement Floor Far Rockaway NY 11691-2802 |
| Mailing Address |
2004 Seagirt Blvd Bsmt Floor Far Rockaway NY 11691-2802 |
| Practice Telephone | 7188688668 |
| Practice Fax Number | 7188688611 |
| Mailing Telephone | 8104449183 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 249146 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 249146 | 01 |
| NY | 03195782 | 05 |
| Street Address |
2004 SEAGIRT BLVD BASEMENT FLOOR |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881772044 | Maya Rankova | Internal Medicine | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 | 2006-11-02 |
| 1255646212 | Long Island Ophthalmology & Eye Surgery, P. C. | Ophthalmology | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 | 2010-08-15 |
| 1689813263 | Seagirt Medical Group | Internal Medicine | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 | 2009-02-05 |
| 1154507861 | M&l Medical Services. P.C. | Internal Medicine | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2810 | 2008-01-11 |
| 1831220839 | Back To Health Physical Therapy, PC | Physical Therapist | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2810 | 2007-03-08 |
| 1407993280 | Abim Medical PC | Internal Medicine | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2810 | 2007-01-31 |
| 1235295544 | Bela Gershgorin | Social Worker | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174551519 | Yonah Hamlet | Ophthalmology | 220 Beach 20th St, Far Rockaway, NY 11691-3618 | 2006-06-28 |
| 1962889212 | Alexander Kemp Ulfers | Ophthalmology | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2015-05-06 |
| 1659776458 | Victoria Vladimirovna Rohring | Ophthalmology | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2014-10-23 |
| 1134413693 | Advanced Ophthalmology, PC | Ophthalmology | 220 Beach 20th St, Far Rockaway, NY 11691-3618 | 2011-06-01 |
| 1255646212 | Long Island Ophthalmology & Eye Surgery, P. C. | Ophthalmology | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 | 2010-08-15 |
| 1003012899 | Natalia Elkin, M.d., P.C. | Ophthalmology | 220 Beach 20th St, Far Rockaway, NY 11691-3618 | 2007-06-27 |
| 1932138112 | Queens Ophthalmology PC | Ophthalmology | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
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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.