MR. DMITRY KHASAK (NPI# 1649258286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649258286 |
| Entity Type | Individual |
| Full Name | MR. DMITRY KHASAK |
| Credential | MD |
| Practice Address |
77 Park Ave New York NY 10016-2556 |
| Mailing Address |
Po Box 6656 Dmitry Khasak Md New York NY 10150 |
| Practice Telephone | 2128266999 |
| Practice Fax Number | 2016264041 |
| Mailing Telephone | 2016264040 |
| Mailing Fax Number | 2016264041 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2014-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 25MA06377000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 1940541 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01867481 | 05 |
| Street Address |
77 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777946 | Andrea P Thau | Optometrist | 77 Park Ave, New York, NY 10016-2556 | 2005-06-01 |
| 1356894570 | Vision On Park Optometry Pllc | Optometrist | 77 Park Ave, 1-c, New York, NY 10016-2556 | 2016-07-25 |
| 1255757134 | Lyudmila Magakyan-martinez | Dermatology | 77 Park Ave, New York, NY 10016-2556 | 2014-03-15 |
| 1336327139 | Janet Schulman | Social Worker | 77 Park Ave, Suite 1-f, New York, NY 10016-2556 | 2008-02-04 |
| 1083892046 | Charles Talcott Davis II | Psychiatry & Neurology | 77 Park Ave, Suite 1c, New York, NY 10016-2556 | 2008-02-01 |
| 1750577714 | Alon Gratch | Psychologist | 77 Park Ave, Suite 1f, New York, NY 10016-2556 | 2007-09-23 |
| 1891905964 | Jeffrey Richard Guss | Psychiatry & Neurology | 77 Park Ave, Suite 1c, New York, NY 10016-2556 | 2007-05-23 |
| 1437377165 | Robert H. Berger | Psychiatry & Neurology | 77 Park Ave, Suite 6e, New York, NY 10016-2556 | 2007-04-20 |
| 1659420008 | Daniel Lippiner | Dentist | 77 Park Ave, 1b, New York, NY 10016-2556 | 2007-01-08 |
| 1255496923 | Frank R Lipton | Psychiatry & Neurology | 77 Park Ave, Suite 1f, New York, NY 10016-2556 | 2006-12-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
| 1700341617 | Db Dermatology Pllc | Dermatology | 483 10th Avenue, Suite 310, New York, NY 10018-9737 | 2019-02-05 |
| 1912483520 | Ofer Reiter Agar | Dermatology | 1233 York Ave Apt 19i, New York, NY 10065-6342 | 2018-07-17 |
| 1336634096 | Es Dermatology, Pllc | Dermatology | 110 E 55th St Fl 11, New York, NY 10022-4551 | 2018-06-26 |
| 1073024626 | Jennifer Geiger, Md, Pllc | Dermatology | 20 E 46th St Rm 1302, New York, NY 10017-9245 | 2017-10-22 |
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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.