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PETRYCHENKO PHYSICIAN PC
NPI 1861413981
Specialist in Brooklyn, NY

Active since July 22, 2006
2960 OCEAN AVE FL 6, BROOKLYN, NY 11235(718) 336-5123(718) 336-5137 Get Directions Write a Review

NPPES record last updated: December 26, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Petrychenko Physician Pc NPPES

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

PETRYCHENKO PHYSICIAN PC (NPI 1861413981) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since July 2006. The organization lists Dmitri Petrychenko, President, as its authorized official.

NPPES Registry Identity

NPI1861413981
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePETRYCHENKO PHYSICIAN PC
Location Address2960 OCEAN AVE FL 6Brooklyn, NY 11235-3202
Mailing Address2960 Ocean Ave Fl 6Brooklyn, NY 11235-3202 · (718) 336-5123 · Fax (718) 336-5137
Phone(718) 336-5123
Fax(718) 336-5137
Organization SubpartNo
Authorized OfficialDmitri PetrychenkoPresident · (718) 336-5123
Enumeration DateJuly 22, 2006
Last NPPES UpdateDecember 26, 2014
✔ NPI 1861413981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2960 OCEAN AVE FL 6, Brooklyn, NY 11235
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Other Identifiers 1

OtherWEL581NY · Medicare

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)

Petrychenko Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Petrychenko Physician PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dmitri Petrychenko, M.D.
Interventional Pain Management
NPI 1588644272
2960 OCEAN AVE FL 6
Brooklyn, NY 11235
(718) 336-5123
✔ PECOS✔ Accepts MedicareSame address
Roma Rajs-Nepomniashy, MD
Physical Medicine and Rehabilitation
NPI 1568689685
1009 BRIGHTON BEACH AVE STE 1A
Brooklyn, NY 11235
(718) 332-3200
✔ PECOS✔ Accepts Medicare0.9 mi
Grigory Shtender, M.D., PM&R
Physical Medicine and Rehabilitation
NPI 1952316614
2995 OCEAN PKWY
Brooklyn, NY 11235
(718) 934-2211
✔ PECOS✔ Accepts Medicare1.2 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 Petrychenko Physician PC's NPI number?

The NPI number for Petrychenko Physician PC is 1861413981. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Petrychenko Physician PC located?

Petrychenko Physician PC is located at 2960 Ocean Ave Fl 6, Brooklyn, NY 11235. The listed phone number is (718) 336-5123.

What is Petrychenko Physician PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Petrychenko Physician PC enrolled in Medicare?

Yes. Petrychenko Physician PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petrychenko Physician PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Petrychenko Physician PC, in Interventional Pain Management and Physical Medicine and Rehabilitation. 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, 1 practice at this address and 3 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 Petrychenko Physician PC was last updated on December 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.