DMITRY KHASAK MD PC
NPI 1649531450
Dermatology in New York, NY

Active since June 07, 2012
77 PARK AVE STE 1A, NEW YORK, NY 10016(212) 826-6669(866) 861-0767 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dmitry Khasak Md Pc NPPES

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

DMITRY KHASAK MD PC (NPI 1649531450) is a healthcare organization registered as a dermatology in New York, New York and active in the NPI registry since June 2012. The organization lists Eugene Gerlants, Manager, as its authorized official.

NPPES Registry Identity

NPI1649531450
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDMITRY KHASAK MD PC
Location Address77 PARK AVE STE 1ANew York, NY 10016-2556
Mailing Address77 Park Ave Ste 1aNew York, NY 10016-2556 · (212) 826-6669 · Fax (866) 861-0767
Fax(866) 861-0767
Organization SubpartNo
Authorized OfficialEugene GerlantsManager · (201) 889-7047
Enumeration DateJune 7, 2012
✔ NPI 1649531450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
77 PARK AVE STE 1A, New York, NY 10016

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dmitry Khasak Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dmitry Khasak MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1649258286
77 PARK AVE
New York, NY 10016
(212) 826-6999
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255757134
77 PARK AVE
New York, NY 10016
(212) 826-6999
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518674621
100 TOWN SQUARE PL STE 409
Jersey City, NJ 07310
(201) 626-4040
✔ PECOS✔ Accepts Medicare3.3 mi
Dermatology
NPI 1326102609
844 AVENUE C
Bayonne, NJ 07002
(201) 339-6681
✔ PECOS✔ Accepts Medicare7.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dmitry Khasak MD PC's NPI number?

The NPI number for Dmitry Khasak MD PC is 1649531450. It was assigned to this organization in the NPPES registry on June 7, 2012.

Where is Dmitry Khasak MD PC located?

Dmitry Khasak MD PC is located at 77 Park Ave Ste 1A, New York, NY 10016. The listed phone number is (212) 826-6669.

What is Dmitry Khasak MD PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dmitry Khasak MD PC enrolled in Medicare?

Yes. Dmitry Khasak MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dmitry Khasak MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dmitry Khasak MD PC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dmitry Khasak MD PC was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.