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GONCHAROV MEDICAL, P.C.
NPI 1831580091
Obstetrics & Gynecology in Brooklyn, NY

Active since February 10, 2015CLIA Certified · 2 labs
225 SAINT JOHNS PL # PLACEC, BROOKLYN, NY 11217(718) 517-8833(646) 843-7617 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goncharov Medical, P.c. NPPES

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

GONCHAROV MEDICAL, P.C. (NPI 1831580091) is a healthcare organization registered as an obstetrics & gynecology in Brooklyn, New York and active in the NPI registry since February 2015. The organization holds 2 active CLIA laboratory certificates and lists Dimitry Goncharov, President, as its authorized official.

NPPES Registry Identity

NPI1831580091
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameGONCHAROV MEDICAL, P.C.
Location Address225 SAINT JOHNS PL # PLACECBrooklyn, NY 11217-3405
Mailing Address225 Saint Johns Pl # PlacecBrooklyn, NY 11217-3405 · (718) 517-8833 · Fax (347) 529-5296
Phone(718) 517-8833
Fax(646) 843-7617
Organization SubpartNo
Authorized OfficialDimitry GoncharovPresident · (212) 201-1217
Enumeration DateFebruary 10, 2015
Last NPPES UpdateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1831580091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 269283
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
225 SAINT JOHNS PL # PLACEC, Brooklyn, NY 11217
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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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2114369

Goncharov Medical PC · New York, NY
Active · expires Jun 12, 2028
CLIA Number33D2114369
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorDr. Dimitry Goncharov
Laboratory Phone(212) 201-1217
Laboratory LocationGoncharov Medical PC274 Madison Avenue - Suite 300, New York, NY 10016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2276047

Goncharov Medical PC Dba Pure Obgyn · Brooklyn, NY
Active · expires Jan 31, 2027
CLIA Number33D2276047
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDr. Dimitry Goncharov
Laboratory Phone(718) 517-8833
Laboratory LocationGoncharov Medical PC Dba Pure Obgyn225 Saint Johns Place, Brooklyn, NY 11217
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Goncharov Medical, P.C.'s NPI number?

The NPI number for Goncharov Medical, P.C. is 1831580091. It was assigned to this organization in the NPPES registry on February 10, 2015.

Where is Goncharov Medical, P.C. located?

Goncharov Medical, P.C. is located at 225 Saint Johns Pl # Placec, Brooklyn, NY 11217. The listed phone number is (718) 517-8833.

What is Goncharov Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Goncharov Medical, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Goncharov Medical, P.C. was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.