GONCHAROV MEDICAL, P.C.
NPI 1831580091
Obstetrics & Gynecology in Brooklyn, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Goncharov Medical, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Goncharov Medical, P.C., which bills Medicare for the services they deliver. Of these, 23 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 29New York, NY 10016
Staten Island, NY 10310
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYCertificate of Waiver 33D2276047
Goncharov Medical PC Dba Pure Obgyn · Brooklyn, NYFrequently 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.
Is Goncharov Medical, P.C. enrolled in Medicare?
Yes. Goncharov Medical, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Goncharov Medical, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 4 Medicare specialties reassign their Medicare billing to Goncharov Medical, P.C.. 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. The largest specialties are Obstetrics/Gynecology (23), Anesthesiology (3) and Certified Nurse Midwife (CNM) (2). Of these, 23 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 2 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.
# Goncharov Medical, P.c. · NPI 1831580091
Obstetrics & Gynecology organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since February 10, 2015.
## Identity
- **NPI:** 1831580091 (Entity type: Organization)
- **Enumerated:** February 10, 2015
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Dimitry Goncharov, PRESIDENT
## Practice location
- **Address:** 225 SAINT JOHNS PL # PLACEC, Brooklyn, NY 11217-3405
- **Phone:** (718) 517-8833 · **Fax:** (646) 843-7617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (23), Anesthesiology (3), Certified Nurse Midwife (CNM) (2); 23 practice within 10 miles; [full list](https://npiprofile.com/npi/1831580091/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831580091) · Data from the CMS NPPES public registry.