DR. KONSTANTIN VASYUKEVICH MD
NPI 1124154273
Otolaryngology - Facial Plastic Surgery in New York, NY

Active since February 25, 2007PECOS Enrolled
59 E 79TH ST, FL 1, NEW YORK, NY 10075(212) 380-3634 Get Directions Write a Review

NPPES record last updated: April 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Konstantin Vasyukevich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KONSTANTIN VASYUKEVICH MD (NPI 1124154273) is an individual facial plastic surgery provider in New York, New York, licensed in New York (243176) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124154273
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. KONSTANTIN VASYUKEVICHCredential: MD
Location Address59 E 79TH ST, FL 1New York, NY 10075-0258
Mailing Address59 E 79th St, Floor 1New York, NY 10075-0258 · (212) 380-3634
Sole ProprietorYes
Enumeration DateFebruary 25, 2007
Last NPPES UpdateApril 15, 2016
NPI 1124154273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in NY · 243176
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 243176 (NY)
59 E 79TH ST, New York, NY 10075

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Konstantin Vasyukevich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Konstantin Vasyukevich's NPI number?

The NPI number for Konstantin Vasyukevich is 1124154273. It was assigned to this individual provider in the NPPES registry on February 25, 2007.

Where is Konstantin Vasyukevich located?

Konstantin Vasyukevich practices at 59 E 79th St Fl 1, New York, NY 10075. The listed phone number is (212) 380-3634.

What is Konstantin Vasyukevich's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Konstantin Vasyukevich enrolled in Medicare?

Yes. Konstantin Vasyukevich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Konstantin Vasyukevich was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.