Yevgeniy Korshunov (NPI# 1194961078, PAC ID# 1456572221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1194961078 |
| PAC ID by PECOS | 1456572221 |
| Professional Enrollment ID | I20141020001184 |
| Full Name | Yevgeniy Korshunov |
| Organization Legal Name | STEPHEN J NICHOLAS MD PC |
| Address |
1870 Richmond Rd Staten Island NY 10306-2553 |
| Phone Number | 7182857118 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0446264931 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330160 | STATEN ISLAND UNIVERSITY HOSPITAL |
| 330119 | LENOX HILL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1870 Richmond Rd, Staten Island, NY 10306-2553 | 7182857118 | STEPHEN J NICHOLAS MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | STEPHEN J NICHOLAS MD PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin B Bedford | Orthopedic Surgery | Stephen J Nicholas Md PC | 200 W 13th St Asc, 4th Fl, New York, NY 10011-7702 |
| Elizabeth Nguyen | Physical Medicine and Rehabilitation | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Katherine M Wohlstadter | Physician Assistant | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| David M Matusz | Orthopedic Surgery | Stephen J Nicholas Md PC | 159 E 74 St, New York, NY 10021-3235 |
| Matthew S Mendez-zfass | Sports Medicine | Stephen J Nicholas Md PC | 159 E 74th St, Fl 2, New York, NY 10021-3309 |
| Firas M Chamas | Orthopedic Surgery | Stephen J Nicholas Md PC | 130 E 77th St, Fl 5, New York, NY 10075-1851 |
| Gregory J Galano | Orthopedic Surgery | Stephen J Nicholas Md PC | 159 E 74th St, Fl 2, New York, NY 10021-3309 |
| Stephen J Nicholas | Orthopedic Surgery | Stephen J Nicholas Md PC | 130 E 77th St, Fl 5, New York, NY 10075-1851 |
| Steven J Lee | Orthopedic Surgery | Stephen J Nicholas Md PC | 130 E 77th St, Suite 5, New York, NY 10075-1851 |
| Sameh Elguizaoui | Sports Medicine | Stephen J Nicholas Md PC | 200 W 13th St Asc, 4th Fl, New York, NY 10011-7702 |
| Street Address |
1870 RICHMOND RD |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10306-2553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul M Kelleher | Physical Medicine and Rehabilitation | Moretti and Racco Medical Associates, PC | 1870 Richmond Rd, Staten Island, NY 10306-2553 |
| Alex Racco | Internal Medicine | Moretti and Racco Medical Associates, PC | 1870 Richmond Rd, Staten Island, NY 10306-2553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Famulari | Podiatry | 140 Meisner Ave, Staten Island, NY 10306-1236 | |
| George L Medrano | Physical Therapy | 16 Beacon Ave, Staten Island, NY 10306-1351 | |
| Ron L Daquila | Occupational Therapy | 254 Mace St, Staten Island, NY 10306-1406 | |
| Bless Magpantay | Physical Therapy | Island Rehab Pt Ot Pllc | 242 Natick St, Staten Island, NY 10306-1626 |
| Douglas Heigh | Occupational Therapy | Island Rehab Pt Ot Pllc | 242 Natick St, Staten Island, NY 10306-1626 |
| Thomas Ruane | Physical Therapy | Island Rehab Pt Ot Pllc | 242 Natick St, Staten Island, NY 10306-1626 |
| Dominick Napoletano | Physical Therapy | Island Rehab Pt Ot Pllc | 242 Natick St, Staten Island, NY 10306-1626 |
| Olga Katz | Psychiatry | 2907 Amboy Rd, Staten Island, NY 10306-2008 | |
| Joy Masefield | Physical Therapy | Masefield and Cavallaro Physical Therapy PC | 69 Guyon Ave, Staten Island, NY 10306-2018 |
| Katarzyna E Niebrzydowska | Physical Therapy | Masefield and Cavallaro Physical Therapy PC | 69 Guyon Ave, Staten Island, NY 10306-2018 |
| Find all physicians in zip 10306 | |||
| City | STATEN ISLAND |
| Zip Code | 10306 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | STATEN ISLAND + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Yevgeniy Korshunov.
| 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.