| Shore Medical PC | |
|
2865 Brighton 3rd St Brooklyn NY 11235-6762 | |
| (718) 891-4400 | |
| Not Available |
| Full Name | Shore Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2865 Brighton 3rd St, Brooklyn, New York |
| Authorized Official Name and Position | Alexandr Orlovskiy (MD) |
| Authorized Official Contact | 7186160500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Medical PC 3632 Nostrand Ave Ste 3 Brooklyn NY 11229-5308 Ph: (718) 616-0500 | Shore Medical PC 2865 Brighton 3rd St Brooklyn NY 11235-6762 Ph: (718) 891-4400 |
| NPI Number | 1578973368 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 7810116761 |
|---|---|
| Medicare Enrollment ID | O20140909000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578973368 | NPI | - | NPPES |
| 03046100 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 250379 (New York) | Primary |
| Provider Name | Irene Shir |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295836146 PECOS PAC ID: 4587620240 Enrollment ID: I20041203000773 |
| Provider Name | Mohamed K Rahman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942244348 PECOS PAC ID: 4183643794 Enrollment ID: I20051114000240 |
| Provider Name | Andrey Kucherina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144361593 PECOS PAC ID: 7012013485 Enrollment ID: I20070501000337 |
| Provider Name | Aleksandr Orlovskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457501447 PECOS PAC ID: 5092874651 Enrollment ID: I20081111000683 |
| Provider Name | Boris Khorets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619989514 PECOS PAC ID: 1153421219 Enrollment ID: I20100924000070 |
| Provider Name | Alina Boshakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356656763 PECOS PAC ID: 1658565346 Enrollment ID: I20131028000075 |
| Provider Name | Nadire Dzhalturova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124467444 PECOS PAC ID: 5991084402 Enrollment ID: I20161123001794 |
| Provider Name | Julia Livshits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609111400 PECOS PAC ID: 0345506168 Enrollment ID: I20171113000276 |
| Provider Name | Katerina Safonova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528568011 PECOS PAC ID: 2567712995 Enrollment ID: I20180906000883 |
| Provider Name | Lyudmila Mogilevskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487174546 PECOS PAC ID: 9739432253 Enrollment ID: I20181031001758 |
| Provider Name | Jack Janani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285047092 PECOS PAC ID: 0042432486 Enrollment ID: I20190117002044 |
| Provider Name | Lily Ruan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306997291 PECOS PAC ID: 7911220975 Enrollment ID: I20190614001039 |
| Provider Name | Shari Jean-marie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609362532 PECOS PAC ID: 7719226968 Enrollment ID: I20200318002266 |
| Provider Name | Dilyara Iafiasova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205450988 PECOS PAC ID: 0648697680 Enrollment ID: I20200827000890 |
| Provider Name | Elizabeth Sokolova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992349476 PECOS PAC ID: 3779990387 Enrollment ID: I20210326001860 |
| Provider Name | Elaina Avit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407632763 PECOS PAC ID: 8022457969 Enrollment ID: I20240411003529 |
| Provider Name | Jonathan Kevin Vaynberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007086 PECOS PAC ID: 0840725255 Enrollment ID: I20241121004129 |
| Provider Name | Marina Khazhikarova |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558943399 PECOS PAC ID: 5496276727 Enrollment ID: I20250304000229 |
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