Vitaliy Zhivotenko (NPI# 1336431907, PAC ID# 9032350251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1336431907 |
| PAC ID by PECOS | 9032350251 |
| Professional Enrollment ID | I20160902001047 |
| Full Name | Vitaliy Zhivotenko |
| Organization Legal Name | LR MEDICAL PLLC |
| Address |
2277 -83 Coney Island Ave 2a Brooklyn NY 11223-3337 |
| Phone Number | 7189989890 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2011 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | NEUROLOGY |
| Group Practice PAC ID | 1052534666 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2277 -83 Coney Island Ave, 2a, Brooklyn, NY 11223-3337 | 7189989890 | LR MEDICAL PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | LR MEDICAL PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonid Chernyak | Anesthesiology | Lr Medical Pllc | 2277 -83 Coney Island Ave, 2a, Brooklyn, NY 11223-3337 |
| Leonid Reyfman | Pain Management | Lr Medical Pllc | 2277 -83 Coney Island Ave, 2a, Brooklyn, NY 11223-3337 |
| Roman Shulkin | Anesthesiology | Lr Medical Pllc | 2277 -83 Coney Island Ave, Brooklyn, NY 11223-3337 |
| Dmitry Ostrovskiy | Physician Assistant | Lr Medical Pllc | 3201 Kings Hwy, Brooklyn, NY 11234-2625 |
| Street Address |
2277 -83 CONEY ISLAND AVE 2A |
| City | BROOKLYN |
| State | NY |
| Zip | 11223-3337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Fyodorova | Physical Therapy | Tri Physical Therapy PC | 2277 -83 Coney Island Ave, Suite 2b, Brooklyn, NY 11223-3337 |
| Leonid Chernyak | Anesthesiology | Lr Medical Pllc | 2277 -83 Coney Island Ave, 2a, Brooklyn, NY 11223-3337 |
| Leonid Reyfman | Pain Management | Lr Medical Pllc | 2277 -83 Coney Island Ave, 2a, Brooklyn, NY 11223-3337 |
| Roman Shulkin | Anesthesiology | Lr Medical Pllc | 2277 -83 Coney Island Ave, Brooklyn, NY 11223-3337 |
| Conie Uygongco | Physical Therapy | Tri Physical Therapy PC | 2277 -83 Coney Island Ave, Suite 2b, Brooklyn, NY 11223-3337 |
| Arkady Lipnitsky | Chiropractic | 2277 -83 Coney Island Ave, 2c, Brooklyn, NY 11223-3337 | |
| Vicente M Caisip | Physical Therapy | Tri Physical Therapy PC | 2277 -83 Coney Island Ave, Suite 2b, Brooklyn, NY 11223-3337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mazal Agazarova | Physical Therapy | Mazal Physical Therapy PC | 1620 Stillwell Ave, Brooklyn, NY 11223-1028 |
| Matvey Brokhin | Endocrinology | 103 Quentin Rd D, Brooklyn, NY 11223-1102 | |
| Joseph R Podhorzer | Ophthalmology | 103 Quentin, Suite 1, Brooklyn, NY 11223-1102 | |
| Igor Zakharov | Family Medicine | Sla Associates LLC | 201 Kings Hwy, Brooklyn, NY 11223-1106 |
| Irina Shammay | Physical Therapy | Sla Associates LLC | 201 Kings Hwy, Brooklyn, NY 11223-1106 |
| Ilya Terekhov Aka Perloff | Physical Therapy | Sla Associates LLC | 201 Kings Hwy, Brooklyn, NY 11223-1106 |
| Pierre Hindy | Gastroenterology | Sla Associates LLC | 201 Kings Hwy, Brooklyn, NY 11223-1106 |
| Valentina Ruvinova | Occupational Therapy | Sla Associates LLC | 201 Kings Hwy, Brooklyn, NY 11223-1106 |
| Mariya Kleynerman | Physical Therapy | Sla Associates LLC | 201 Kings Hwy, Brooklyn, NY 11223-1106 |
| Inna Tovbina | Internal Medicine | Sla Associates LLC | 201 Kings Hwy, Brooklyn, NY 11223-1106 |
| Find all physicians in zip 11223 | |||
| City | BROOKLYN |
| Zip Code | 11223 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | BROOKLYN + PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.