TATIANA KHROM, M.D., P.C. (NPI# 1184739799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184739799 |
| Entity Type | Organization |
| Organization Name | TATIANA KHROM, M.D., P.C. |
| Practice Address |
2797 Ocean Pkwy 3rd Floor Brooklyn NY 11235-7861 |
| Mailing Address |
445 Neptune Ave Apt 10a Brooklyn NY 11224-4561 |
| Practice Telephone | 7186154000 |
| Practice Fax Number | 7186154004 |
| Mailing Telephone | 6464798039 |
| Mailing Fax Number | 7184844413 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | DR. TATIANA KHROM (PRESIDENT) |
| Authorized Official Telephone | 6464798039 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 227196 | NY | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
227196 | NY | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
227196 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02804617 | 05 |
| Street Address |
2797 OCEAN PKWY 3RD FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-7861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417995358 | David Khasidy | Internal Medicine | 2797 Ocean Pkwy, 2nd Floor, Brooklyn, NY 11235-7861 | 2006-06-03 |
| 1932694312 | Art 58 Inc | Social Worker | 2797 Ocean Pkwy, Brooklyn, NY 11235-7870 | 2018-06-27 |
| 1962716738 | Rose German | Physician Assistant | 2797 Ocean Pkwy, 1 Floor, Brooklyn, NY 11235-7868 | 2010-08-03 |
| 1487819926 | New York Nuclear Medicine P.C. | Nuclear Medicine | 2797 Ocean Pkwy, Brooklyn, NY 11235-7861 | 2008-07-24 |
| 1386832913 | Ib Family Medical PC | Neuromusculoskeletal Medicine & OMM | 2797 Ocean Pkwy, Ste 2, Brooklyn, NY 11235-7870 | 2007-10-09 |
| 1609069657 | Diagnostic Neurology PC | Psychiatry & Neurology | 2797 Ocean Pkwy, 2nd Floor, Brooklyn, NY 11235-7868 | 2007-08-23 |
| 1811192248 | Diagnostic Neurology PC | Psychiatry & Neurology | 2797 Ocean Pkwy, 2 Floor, Brooklyn, NY 11235-7868 | 2007-06-16 |
| 1952464059 | Psychological Health Care of Ny | Psychologist | 2797 Ocean Pkwy, Brooklyn, NY 11235-7861 | 2006-12-19 |
| 1053488361 | Michael E Kissin | Psychologist | 2797 Ocean Pkwy, Brooklyn, NY 11235-7861 | 2006-11-29 |
| 1043396047 | Igor Beneditskiy | Neuromusculoskeletal Medicine & OMM | 2797 Ocean Pkwy, Ste 2, Brooklyn, NY 11235-7870 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427343391 | Skin Cancer and Aesthetic Surgery, P.C. | Dermatology | 2727 Ocean Pkwy, Suite L1, Brooklyn, NY 11235-7857 | 2011-06-18 |
| 1386719425 | Ronald R Brancaccio Md & Peter Saitta Do PC | Dermatology | 7901 4th Avenue, Apt A20, Brooklyn, NY 11209-3957 | 2006-11-22 |
| 1740381516 | Michael Shapiro | Dermatology | 2148 Ocean Ave Fl 5, Brooklyn, NY 11229-1484 | 2006-09-26 |
| 1164994034 | Vive Medical Pllc | Dermatology | 1250 Ocean Pkwy, Brooklyn, NY 11230-5155 | 2018-12-17 |
| 1831542661 | Tobechi L. Ebede, Md, Pllc | Dermatology | 26 Court St, Suite 1005, Brooklyn, NY 11242-0103 | 2016-07-17 |
| 1609293760 | Juliya Fisher | Dermatology | 450 Clarkson Ave, Box 1262, Brooklyn, NY 11203-2012 | 2014-03-26 |
| 1467882332 | Kleydman Dermatology, Pllc | Dermatology | 2960 Ocean Ave, 2nd Floor, Brooklyn, NY 11235-3202 | 2013-11-13 |
| 1811032196 | Advanced Dermatology Laser and Cosmetic Surgery P.C. | Dermatology | 1220 Avenue P, Brooklyn, NY 11229-1009 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225260 | Dermatology Laser and Surgery of Carnegie Hill Pllc | Dermatology | 1095 Park Ave Ste 1a, New York, NY 10128-1154 | 2019-03-20 |
| 1245651827 | Complete Skin & Laser Surgery PC | Dermatology | 225 E 64th St Fl 2, New York, NY 10065-6690 | 2013-12-26 |
| 1598043432 | Marmur Dermatology and Cardiology, Pllc | Dermatology | 12 E 87th St Suite 1a, New York, NY 10128-0501 | 2011-07-26 |
| 1174814735 | Reason Wilken | Dermatology | 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042-2058 | 2011-04-29 |
| 1760658033 | Advanced Dermatology PC | Dermatology | 165 Roslyn Rd, Roslyn Heights, NY 11577-1315 | 2008-05-06 |
| 1255535993 | Weill Medical College of Cornell University | Dermatology | 1305 York Ave., 9th Floor, New York, NY 10021-4870 | 2007-06-14 |
| 1336291657 | Michael Jonathan Albom | Dermatology | 33 E 70th St, 1f, New York, NY 10021-4941 | 2007-01-17 |
| 1255415113 | The Center for Dermatologic Surgery of Monroe | Dermatology | 503 State Route 208, Monroe, NY 10950-1619 | 2006-10-25 |
| 1093899791 | The New York Aesthetic Consultants LLP | Dermatology | 260 East 66th Street, New York, NY 10021 | 2006-10-25 |
| 1548360795 | Desiree Ratner | Dermatology | 36 E 36th St Ste 204, New York, NY 10016-3441 | 2006-09-25 |
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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.