| Prominis Medical Services PC | |
|
332 Dekalb Ave Brooklyn NY 11205-3820 | |
| (718) 852-5252 | |
| (718) 802-1113 |
| Full Name | Prominis Medical Services PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 332 Dekalb Ave, Brooklyn, New York |
| Authorized Official Name and Position | Andras Fenyves (OWNER) |
| Authorized Official Contact | 7188525252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prominis Medical Services PC 381 5th St Brooklyn NY 11215-2806 Ph: (718) 852-5252 | Prominis Medical Services PC 332 Dekalb Ave Brooklyn NY 11205-3820 Ph: (718) 852-5252 |
| NPI Number | 1841323771 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 12/03/2025 |
| Certification Date | 12/03/2025 |
| Medicare PECOS PAC ID | 9537124441 |
|---|---|
| Medicare Enrollment ID | O20041119000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841323771 | NPI | - | NPPES |
| 02617105 | Medicaid | NY | |
| DD0279 | Other | NY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 232171 (New York) | Primary |
| Provider Name | Andras Fenyves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952467318 PECOS PAC ID: 3173436102 Enrollment ID: I20031106000531 |
| Provider Name | Richard Link |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730114547 PECOS PAC ID: 7214833599 Enrollment ID: I20031209000087 |
| Provider Name | Inna Pildysh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316914021 PECOS PAC ID: 2365434982 Enrollment ID: I20040401001352 |
| Provider Name | Vladimir Volokh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598731564 PECOS PAC ID: 9638168099 Enrollment ID: I20040510001680 |
| Provider Name | Valeriy a Matatov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699722736 PECOS PAC ID: 2668463928 Enrollment ID: I20040524001202 |
| Provider Name | Linda R Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568593010 PECOS PAC ID: 8527041813 Enrollment ID: I20040608001380 |
| Provider Name | Mark Castaldi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447275185 PECOS PAC ID: 6103888755 Enrollment ID: I20041027000513 |
| Provider Name | Anahid Nisanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942386735 PECOS PAC ID: 6406818889 Enrollment ID: I20041028000367 |
| Provider Name | Rossana Dilmanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821174632 PECOS PAC ID: 4183653397 Enrollment ID: I20050808001276 |
| Provider Name | Barry Dublin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649332818 PECOS PAC ID: 2769417369 Enrollment ID: I20051003000516 |
| Provider Name | Johnny Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619906047 PECOS PAC ID: 8820018492 Enrollment ID: I20051128000570 |
| Provider Name | Roberto Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477655017 PECOS PAC ID: 3577572189 Enrollment ID: I20060410000520 |
| Provider Name | Munir a Shikari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477540672 PECOS PAC ID: 5395644496 Enrollment ID: I20060608000070 |
| Provider Name | Cary S Pollack |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285734855 PECOS PAC ID: 6204919012 Enrollment ID: I20080215000534 |
| Provider Name | Steven C Tawil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598717704 PECOS PAC ID: 6608950654 Enrollment ID: I20080228000590 |
| Provider Name | Alan Peter Goldman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427002153 PECOS PAC ID: 9739263799 Enrollment ID: I20080229000207 |
| Provider Name | Joseph Abboud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710168901 PECOS PAC ID: 8022195791 Enrollment ID: I20080404000369 |
| Provider Name | Eric Dessner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861686545 PECOS PAC ID: 4486740693 Enrollment ID: I20081208000630 |
| Provider Name | Rod Saclolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396809091 PECOS PAC ID: 7810013711 Enrollment ID: I20100929000026 |
| Provider Name | Clark R Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619016011 PECOS PAC ID: 3577559111 Enrollment ID: I20101011001127 |
| Provider Name | Svetlana Direktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316254410 PECOS PAC ID: 9436348703 Enrollment ID: I20110118001229 |
| Provider Name | Dionisio B Mauro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972688018 PECOS PAC ID: 8123203627 Enrollment ID: I20110427000335 |
| Provider Name | Geraldine S Vaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982766697 PECOS PAC ID: 8527244979 Enrollment ID: I20110519000085 |
| Provider Name | Kirill V Rikher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578530788 PECOS PAC ID: 8325225006 Enrollment ID: I20110606000618 |
| Provider Name | Olga Gruscinska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457580052 PECOS PAC ID: 4981758323 Enrollment ID: I20111020000373 |
| Provider Name | Valentina Boguslavskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770838583 PECOS PAC ID: 3072752641 Enrollment ID: I20130612000410 |
| Provider Name | Louis Nowlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295089365 PECOS PAC ID: 7517108640 Enrollment ID: I20130801000004 |
| Provider Name | Issa Elia Jaradeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184955270 PECOS PAC ID: 0547493876 Enrollment ID: I20140512001075 |
| Provider Name | Rongshan Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750335667 PECOS PAC ID: 5799747739 Enrollment ID: I20150323001567 |
| Provider Name | Israel Willis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932448701 PECOS PAC ID: 4789829839 Enrollment ID: I20150506000335 |
| Provider Name | Lora Y Slabodkina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881646149 PECOS PAC ID: 7012934433 Enrollment ID: I20150709000626 |
| Provider Name | Diogenes Antipas Almonte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861606014 PECOS PAC ID: 6204139314 Enrollment ID: I20160125000526 |
| Provider Name | Brian G Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184678955 PECOS PAC ID: 5496646655 Enrollment ID: I20170112001216 |
| Provider Name | Aldo Manuel Navarro Oviedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235487703 PECOS PAC ID: 8527342013 Enrollment ID: I20170301000241 |
| Provider Name | Colette Nelson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952525396 PECOS PAC ID: 1052696234 Enrollment ID: I20170330002235 |
| Provider Name | Edwin a Dominguez Almonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952659625 PECOS PAC ID: 4183846744 Enrollment ID: I20170906000084 |
| Provider Name | Natalia E Suchorzepka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316330590 PECOS PAC ID: 3476810771 Enrollment ID: I20171121002630 |
| Provider Name | Margarita Ukman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356685473 PECOS PAC ID: 8123069796 Enrollment ID: I20171204002394 |
| Provider Name | John Angelo Giangreco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457841892 PECOS PAC ID: 4082969639 Enrollment ID: I20180622000016 |
| Provider Name | Stella Dogot Koltunov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518235589 PECOS PAC ID: 5496002446 Enrollment ID: I20180720002741 |
| Provider Name | Jenna R Antine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073894515 PECOS PAC ID: 9931372604 Enrollment ID: I20181010002136 |
| Provider Name | Somechukwu O Onuoha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598141319 PECOS PAC ID: 8820342603 Enrollment ID: I20181114000686 |
| Provider Name | Natalia Kotlik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477020600 PECOS PAC ID: 9739423864 Enrollment ID: I20181130001040 |
| Provider Name | Alexis Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205348851 PECOS PAC ID: 7810233509 Enrollment ID: I20190117001378 |
| Provider Name | Jacob Alan Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710351515 PECOS PAC ID: 2567704612 Enrollment ID: I20190422001151 |
| Provider Name | Nancy Trejo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811162563 PECOS PAC ID: 0446593289 Enrollment ID: I20190520001973 |
| Provider Name | Valerie Yvonne Sauve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962769331 PECOS PAC ID: 2365692993 Enrollment ID: I20190620000493 |
| Provider Name | Rafael Barcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528009461 PECOS PAC ID: 8123038882 Enrollment ID: I20191030002962 |
| Provider Name | Brock Drapkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508832189 PECOS PAC ID: 4082679063 Enrollment ID: I20191101000378 |
| Provider Name | Arthur Jay Brantz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154379287 PECOS PAC ID: 0143296400 Enrollment ID: I20200602002170 |
| Provider Name | Larissa Jerominow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285284992 PECOS PAC ID: 5991116360 Enrollment ID: I20201117000628 |
| Provider Name | Nina M Andrias-ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639788201 PECOS PAC ID: 8820404353 Enrollment ID: I20210309000954 |
| Provider Name | Cale S Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134784762 PECOS PAC ID: 7911232467 Enrollment ID: I20210611000282 |
| Provider Name | Munther Alshalabi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033770508 PECOS PAC ID: 9537498423 Enrollment ID: I20210927000317 |
| Provider Name | Yong Woo Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437738986 PECOS PAC ID: 5092103598 Enrollment ID: I20211103001258 |
| Provider Name | Jennifer Polatchek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245793900 PECOS PAC ID: 6002243672 Enrollment ID: I20211202001328 |
| Provider Name | Ryan R Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447981097 PECOS PAC ID: 7810371564 Enrollment ID: I20220830003821 |
| Provider Name | Gloria Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346792751 PECOS PAC ID: 5294101416 Enrollment ID: I20221013000221 |
| Provider Name | Roman Fayzibayev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467183749 PECOS PAC ID: 5496126294 Enrollment ID: I20230113000302 |
| Provider Name | Sara Darcy Wolk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871201350 PECOS PAC ID: 0749651438 Enrollment ID: I20230117000340 |
| Provider Name | Inessa Inoyatova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649986068 PECOS PAC ID: 5698149854 Enrollment ID: I20230330000690 |
| Provider Name | Sylwia Dziwirek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417657867 PECOS PAC ID: 3870968829 Enrollment ID: I20230405001930 |
| Provider Name | Sergey Arinkin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093412439 PECOS PAC ID: 6800256025 Enrollment ID: I20230720000674 |
| Provider Name | Dean Robosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265926943 PECOS PAC ID: 0345604336 Enrollment ID: I20230908002418 |
| Provider Name | Louise Anne Yee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245457548 PECOS PAC ID: 5698124709 Enrollment ID: I20231214003225 |
| Provider Name | Steven O Addo-yobo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548553605 PECOS PAC ID: 7012367675 Enrollment ID: I20231221002912 |
| Provider Name | Sara Blitenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801671706 PECOS PAC ID: 2466802566 Enrollment ID: I20240102003673 |
| Provider Name | Michael Iskhakov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568152106 PECOS PAC ID: 2860833548 Enrollment ID: I20240513001263 |
| Provider Name | Jonathan Kevin Vaynberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007086 PECOS PAC ID: 0840725255 Enrollment ID: I20241121004129 |
| Provider Name | Kristian Devera Zacarias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285490268 PECOS PAC ID: 6608398680 Enrollment ID: I20250319002266 |
| Provider Name | Cindy Bichebara Dorsainvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215802020 PECOS PAC ID: 9133613367 Enrollment ID: I20251215001663 |
| Provider Name | Orlando Xavier Rivera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497690218 PECOS PAC ID: 5193293777 Enrollment ID: I20260501003498 |
| Provider Name | Diana Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760332274 PECOS PAC ID: 7719458900 Enrollment ID: I20260609001347 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 |
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University Physicians of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 |
Sikder Medical Care P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 |
Flatbush Medical Plaza, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 |
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