DIAGNOSTIC NEUROLOGY PC (NPI# 1811192248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811192248 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC NEUROLOGY PC |
| Practice Address |
2797 Ocean Pkwy 2 Floor Brooklyn NY 11235-7868 |
| Mailing Address |
81 Lotus Oval N Valley Stream NY 11581-2327 |
| Practice Telephone | 7185761212 |
| Practice Fax Number | 7183327110 |
| Mailing Telephone | 5167910761 |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2010-03-28 |
| Authorized Official Name | DR. SERGEY ZHIVOTENKO (PRESIDENT) |
| Authorized Official Telephone | 5167910761 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02677663 | 05 | |
| NY | DEA | BZ9432066 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609069657 | Diagnostic Neurology PC | Psychiatry & Neurology | 2797 Ocean Pkwy, 2nd Floor, Brooklyn, NY 11235-7868 | 2007-08-23 |
| Street Address |
2797 OCEAN PKWY 2 FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235-7868 |
| 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 |
| 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 |
| 1780792119 | Atlantic Gastroenterology, P.C. | Internal Medicine | 2797 Ocean Pkwy, 3rd Floor, Brooklyn, NY 11235-7861 | 2006-08-27 |
| 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 | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760806681 | Neurology Pain Care, PC | Psychiatry & Neurology | 6818 3rd Ave, Brooklyn, NY 11220-5803 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548739006 | Intraoperative Neurology Services PC | Psychiatry & Neurology | 4 Legends Cir, Melville, NY 11747-5302 | 2018-11-14 |
| 1457760977 | Luis Grodnitzky | Psychiatry & Neurology | 300 E 54th St Apt 4j, New York, NY 10022-5019 | 2014-08-08 |
| 1346661808 | Comprehensive Diagnostics and Imaging PC | Psychiatry & Neurology | 200 East 36 Street, 11c, New York, NY 10016 | 2013-12-30 |
| 1952601668 | Ideal Idtf Services of New York, Inc. | Psychiatry & Neurology | 4394 Broadway, New York, NY 10040-4002 | 2010-10-27 |
| 1922261486 | Amit Khaneja | Psychiatry & Neurology | 1155 Warburton Ave Apt 1u, Yonkers, NY 10701-1075 | 2008-07-05 |
| 1538331749 | Autonomic Neurology, Pllc | Psychiatry & Neurology | 2 Charlton St, 15b, New York, NY 10014-4909 | 2008-03-27 |
| 1215967633 | Robert Alan Gold | Psychiatry & Neurology | Pilgrim Psychiatric Center, 998 Crooked Hill Road, West Brentwood, NY 11717 | 2006-07-03 |
| 1831151281 | Alcibiades J. Rodriguez | Psychiatry & Neurology | 724 2nd Ave, New York, NY 10016-2710 | 2006-04-03 |
| 1992703391 | Andrei Carasca | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2005-07-08 |
| 1629075767 | Itzhak C Haimovic | Psychiatry & Neurology | 170 Great Neck Road, Great Neck, NY 11021 | 2005-07-05 |
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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.