DMITRY PEDIATRICS, PEDIATRIC NURSE PRACTITIONER PC (NPI# 1700483799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700483799 |
| Entity Type | Organization |
| Organization Name | DMITRY PEDIATRICS, PEDIATRIC NURSE PRACTITIONER PC |
| Practice Address |
10 Shore Blvd Apt 1g Brooklyn NY 11235-4022 |
| Mailing Address |
300 Chelsea St Staten Island NY 10307-1715 |
| Practice Telephone | 7186159787 |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-10-03 |
| Authorized Official Name | DMITRY SHINDELMAN (PRESIDENT) |
| Authorized Official Telephone | 6464653055 |
| Authorized Official Credential | CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 SHORE BLVD APT 1G |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-4022 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1083246391 | Moriah Kendall | Nurse Practitioner | 949 48th St, Brooklyn, NY 11219-2919 | 2020-02-05 |
| 1831641893 | Hillary Elise Fairbanks | Nurse Practitioner | 774 Saratoga Ave, Brooklyn, NY 11212-4439 | 2016-10-25 |
| 1164806287 | Tayo Adjapon-yamoah | Nurse Practitioner | Sunset Park Children's Health At Nyu Langone, 5610 2nd Ave, Brooklyn, NY 11220 | 2015-07-18 |
| 1306233408 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 6010 Bay Pkwy Fl 9, Brooklyn, NY 11204-6079 | 2015-04-16 |
| 1972888618 | Betty P.l. Celestin | Nurse Practitioner | 15 Metrotech Center 11th Floor, Empire State Home Care Services Inc C/o Bridget O'conne, Brooklyn, NY 11201 | 2011-10-13 |
| 1184930406 | Claudia Senatore | Nurse Practitioner | 825 4th Ave Rm 254, Brooklyn, NY 11232-1701 | 2010-08-24 |
| 1558687731 | Evelyn Sarina Glaser | Nurse Practitioner | 309 47th St, Brooklyn, NY 11220-1111 | 2010-04-13 |
| 1689808958 | Simone T Phillips | Nurse Practitioner | 180 Livingston Street, Suite 304, Brooklyn, NY 11201 | 2009-05-14 |
| Find all providers in BROOKLYN | ||||
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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.