1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Physician Assistant
  6. NPI Profile

DMITRY BOGOMOLNY RPA-C
NPI 1891027405
Physician Assistant in New York, NY

Active since February 06, 2010PECOS Enrolled
635 W 165TH ST, NEW YORK, NY 10032(212) 305-3015 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dmitry Bogomolny Rpa-c NPPES

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

DMITRY BOGOMOLNY RPA-C (NPI 1891027405) is an individual physician assistant in New York, New York, licensed in New York (013776-1) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891027405
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDMITRY BOGOMOLNYCredential: RPA-C
Location Address635 W 165TH STNew York, NY 10032-3724
Mailing Address635 W 165th St, Box 435New York, NY 10032-3724 · (212) 305-3015
Phone(212) 305-3015
Sole ProprietorNo
Enumeration DateFebruary 6, 2010
Last NPPES UpdateApril 25, 2017
✔ NPI 1891027405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 013776-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
635 W 165TH ST, New York, NY 10032
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dmitry Bogomolny Rpa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE A CIOFFI MD
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
New York County (212) 305-9535
DR. ROYCE WELFORD SHEN CHEN M.D.
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
New York County (212) 305-9535
ARIELA VASSERMAN PSY.D.
Psychologist (Clinical)
635 W 165TH ST, 6TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-9433
JEFFREY LIEBMANN MD
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
New York County (212) 305-9535
JAMES DRAKE AURAN M.D.
Ophthalmology
635 W 165TH ST, BOX 11
NEW YORK, NY 10032
New York County (212) 305-9535
LORA RABIN DAGI GLASS M.D.
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
New York County (212) 305-9535
DR. GABRIEL RAND MD
Ophthalmology
635 W 165TH ST
NEW YORK, NY 10032
New York County (212) 305-6709
MR. LORENZO TORRES M.A.
Psychologist (School)
635 W 165TH ST, ROOM 636A
NEW YORK, NY 10032
New York County (646) 317-0437

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 Bogomolny's NPI number?

The NPI number for Dmitry Bogomolny is 1891027405. It was assigned to this individual provider in the NPPES registry on February 6, 2010.

Where is Dmitry Bogomolny located?

Dmitry Bogomolny practices at 635 W 165th St, New York, NY 10032. The listed phone number is (212) 305-3015.

What is Dmitry Bogomolny's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dmitry Bogomolny enrolled in Medicare?

Yes. Dmitry Bogomolny is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dmitry Bogomolny was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.