Dr Dmitry Lisenenkov, MD | |
475 Seaview Ave, Cardiothoracic Icu, Staten Island, NY 10305 | |
(718) 775-7770 | |
Not Available |
Full Name | Dr Dmitry Lisenenkov |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 19 Years |
Location | 475 Seaview Ave, Staten Island, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679736953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 249407 (New York) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | 25MA11111600 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Newark Beth Israel Medical Center | Newark, NJ | Hospital |
St Mary's General Hospital | Passaic, NJ | Hospital |
Maimonides Medical Center | Brooklyn, NY | Hospital |
Saint Clare's Hospital/ Denville Campus | Denville, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maimonides Medical Center-maimo Criticare Fpp | 3476441726 | 13 |
Nbimc Department Of Cardio-thoracic | 4082696794 | 29 |
Ccmma Nj Llc | 8123392495 | 17 |
Barnabas Health Medical Group Pc | 9537316955 | 558 |
Entity Name | Montefiore Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Entity Name | Good Samaritan Hospital Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518901180 PECOS PAC ID: 5294639951 Enrollment ID: O20031124000491 |
Entity Name | Maimonides Medical Center-maimo Criticare Fpp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265547178 PECOS PAC ID: 3476441726 Enrollment ID: O20040308001234 |
Entity Name | Maimonides Faculty Practice Plan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
Entity Name | Nassau Health Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
Entity Name | Physicians Of University Hospital Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Dr Dmitry Lisenenkov, MD 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 775-7770 | Dr Dmitry Lisenenkov, MD 475 Seaview Ave, Cardiothoracic Icu, Staten Island, NY 10305 Ph: (718) 775-7770 |
David K Chen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Dr. Michael Costes, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 375 Seguine Ave, Staten Island, NY 10309 Phone: 718-226-2000 | |
Carlos Alcala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-2000 | |
Dr. M. Joycelynne Y. Tecson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2348 Richmond Rd, Staten Island, NY 10306 Phone: 718-987-3338 Fax: 718-667-3043 | |
Dr. Robert Walter Bohnenberger, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3298 | |
Dr. Shasky Kevin Charles, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1298 Richmond Rd, Staten Island, NY 10304 Phone: 203-676-9195 | |
Vadim Roytenberg, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-2000 |