1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VLADISLAV FOMIN MD
NPI 1508326349
Internal Medicine - Hepatology in New York, NY

Active since March 20, 2019PECOS Enrolled
1305 YORK AVE # 413, NEW YORK, NY 10021(646) 962-4000 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Apr 2, 2019, Mar 20, 2019 (3 updates tracked since 2019).

About Vladislav Fomin Md NPPES

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

VLADISLAV FOMIN MD (NPI 1508326349) is an individual hepatology provider in New York, New York, licensed in New York (328532) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508326349
Entity TypeIndividualMale
Primary Taxonomy207RI0008X
Provider Legal NameVLADISLAV FOMINCredential: MD
Location Address1305 YORK AVE # 413New York, NY 10021-5663
Mailing Address2719 44th Drive, Apt 8fLittle Neck, NY 11362-1726 · (347) 776-1425
Phone(646) 962-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1508326349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
License✔ Licensed in NY · 328532
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
1305 YORK AVE # 413, New York, NY 10021
Open in Google Maps ↗

Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 726-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vladislav Fomin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375873367
PECOS Enrollment IDI20260911002139
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 Vladislav Fomin's NPI number?

The NPI number for Vladislav Fomin is 1508326349. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Vladislav Fomin located?

Vladislav Fomin practices at 1305 York Ave # 413, New York, NY 10021. The listed phone number is (646) 962-4000.

What is Vladislav Fomin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Vladislav Fomin enrolled in Medicare?

Yes. Vladislav Fomin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vladislav Fomin was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.