YEVGENIY SOROKIN (NPI# 1295022168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295022168 |
| Entity Type | Individual |
| Full Name | YEVGENIY SOROKIN |
| Credential | D.O. |
| Practice Address |
65 Broadway Ste 1004 New York NY 10006-2550 |
| Practice Telephone | 6465590585 |
| Practice Fax Number | 6465592061 |
| Mailing Telephone | 6465590585 |
| Mailing Fax Number | 6465592061 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2017-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
262020 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03974022 | 05 |
| Street Address |
65 BROADWAY STE 1004 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437182375 | Jordan C. Stern | Otolaryngology | 65 Broadway, Suite 901, New York, NY 10006-2503 | 2006-07-07 |
| 1942849401 | Joseph Charles Cestaro | Physical Therapist | 65 Broadway, New York, NY 10006-2503 | 2020-01-02 |
| 1700443280 | Elizabeth Roper | Acupuncturist | 65 Broadway, New York, NY 10006-2503 | 2019-05-21 |
| 1578009270 | Ny Mobile Medical PC | Specialist | 65 Broadway, Ste 903, New York, NY 10006-2503 | 2017-01-18 |
| 1801270715 | Rosemary Ward | Nurse Practitioner | 65 Broadway, Suite 903, New York, NY 10006 | 2015-07-10 |
| 1588053557 | New York Speech & Voice Lab Pllc | Speech-Language Pathologist | 65 Broadway, Suite 822, New York, NY 10006-2503 | 2015-01-14 |
| 1154726479 | Wall Street Podiatry PC | Podiatrist | 65 Broadway, Unit 1103, New York, NY 10006-2503 | 2014-10-29 |
| 1487061065 | Erika Hellwig Mental Health Counselor Pllc | Counselor | 65 Broadway, 844, New York, NY 10006-2503 | 2014-07-16 |
| 1902220585 | Katie Lorenzo | Social Worker | 65 Broadway, 505, New York, NY 10006-2503 | 2014-02-18 |
| 1184068017 | Modern Dermatology Pllc | Specialist | 65 Broadway, New York, NY 10006-2503 | 2013-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
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| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932342912 | Chelsea West Physical Therapy Pllc | Physical Medicine & Rehabilitation | 134 W 29th St Rm 1008, New York, NY 10001-5663 | 2009-04-07 |
| 1306082045 | Jignyasa Desai | Physical Medicine & Rehabilitation | 32 West 38 Th Street Suite 501, New York, NY 10001 | 2008-12-31 |
| 1003051251 | Helen Suguitan Oller | Physical Medicine & Rehabilitation | 506 Lenox Ave Rm 3123, New York, NY 10037-1802 | 2008-12-02 |
| 1306010129 | Thomas Sunil Mathew | Physical Medicine & Rehabilitation | 265 Madison Ave, 4th Floor, New York, NY 10016 | 2008-04-14 |
| 1366624793 | New York Neuro Rehabilitation Group Pllc | Physical Medicine & Rehabilitation | 508 W 26th St, 10 Floor, New York, NY 10001-5504 | 2007-11-27 |
| 1982801874 | Pradeep Penta | Physical Medicine & Rehabilitation | 317 E 34th St Fl 9, Murray Hill Medical Group, New York, NY 10016-4974 | 2007-07-02 |
| 1952506792 | Grand Central Physical Medicine&rehabilitation PC | Physical Medicine & Rehabilitation | 315 Madison Ave Rm 702, New York, NY 10017-5434 | 2007-06-20 |
| 1447381538 | Grand Street Medicine & Rehabilitation P C | Physical Medicine & Rehabilitation | 460 Grand St, New York, NY 10002-4058 | 2007-03-08 |
| 1295886612 | Dmitry Konstantinovich Nesen | Physical Medicine & Rehabilitation | 1420 York Ave Apt 1a, New York, NY 10021-3150 | 2007-01-13 |
| 1992712640 | Alicia R Carter | Physical Medicine & Rehabilitation | 425 Madison Ave Fl 11, New York, NY 10017-1134 | 2006-08-02 |
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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.