DR. KUSHNERIK MEDICAL P.C. (NPI# 1912305723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912305723 |
| Entity Type | Organization |
| Organization Name | DR. KUSHNERIK MEDICAL P.C. |
| Practice Address |
124 E 40th St New York NY 10016-1723 |
| Mailing Address |
101 Indiana Pl Brooklyn NY 11234-6906 |
| Practice Telephone | 7184225023 |
| Practice Fax Number | 7184225025 |
| Mailing Telephone | 7188076995 |
| Mailing Fax Number | 7184225025 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | DR. VADIM KUSHNERIK (PHYSICIAN) |
| Authorized Official Telephone | 7188076995 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
NY | Ambulatory Health Care Facilities |
| Street Address |
124 E 40TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588644678 | John Wesly Phelts IIi | Chiropractor | 124 E 40th St, Suite 301, New York, NY 10016-1723 | 2006-01-17 |
| 1285001024 | Alexander Kriss | Psychologist | 124 E 40th St, Suite 404, New York, NY 10016-1723 | 2015-08-27 |
| 1891185740 | Yasuho Mori | Specialist/Technologist | 124 E 40th St, Suite 501, New York, NY 10016-1723 | 2015-01-30 |
| 1184028508 | Metropolitan Anesthesia Services | Clinic/Center | 124 E 40th St, Suite 402, New York, NY 10016-1723 | 2014-10-14 |
| 1902200686 | Anna Kochanova | Physical Therapist | 124 E 40th St, 402, New York, NY 10016-1723 | 2014-10-09 |
| 1760885123 | Carlo Borea | Counselor | 124 E 40th St, Suite 404, New York, NY 10016-1723 | 2014-09-30 |
| 1285035543 | Phelts Chiropractic PC | Chiropractor | 124 E 40th St, Suite 301, New York, NY 10016-1723 | 2014-09-05 |
| 1326487265 | Martha E Miller | Social Worker | 124 E 40th St, Suite 704, New York, NY 10016-1723 | 2013-06-24 |
| 1487990461 | New World Dentistry Pllc | Clinic/Center | 124 E 40th St, Suite 302, New York, NY 10016-1723 | 2012-12-20 |
| 1134498611 | Ronald Jay Shaskan | Dentist | 124 E 40th St, Suite 302, New York, NY 10016-1723 | 2011-12-29 |
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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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| 1467933002 | New York Center for Ambulatory Surgery LLC | Clinic/Center | 1210 2nd Ave, New York, NY 10065-7403 | 2018-08-22 |
| 1841788809 | Manhattan Reproductive Surgery Center, LLC | Clinic/Center | 65 Broadway Fl 21, New York, NY 10006-2503 | 2018-04-25 |
| 1649786377 | Fifth Ave Podiatric Surgery Suite | Clinic/Center | 133 E 54th St Rm 2a, New York, NY 10022-4538 | 2017-12-18 |
| 1346792165 | Hss Asc of Manhattan LLC | Clinic/Center | 1233 2nd Ave, New York, NY 10065-6705 | 2016-10-27 |
| 1184074361 | Unique Surgical Pavilion LLC | Clinic/Center | 369 Lexington Ave Ste 800, New York, NY 10017-6506 | 2016-06-17 |
| 1689021529 | Manhattan Ob/gyn Surgical Suites | Clinic/Center | 144 E 44th St Ste 295, New York, NY 10017-4008 | 2016-05-20 |
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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.