ARIEL PROZUMENSHIKOV M.D.
NPI 1912432667
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since May 01, 2017PECOS Enrolled
355 BARD AVE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR, STATEN ISLAND, NY 10310(718) 818-2419 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ariel Prozumenshikov M.d. NPPES

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

ARIEL PROZUMENSHIKOV M.D. (NPI 1912432667) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912432667
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameARIEL PROZUMENSHIKOVCredential: M.D.
Location Address355 BARD AVE, DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOORStaten Island, NY 10310-1664
Mailing Address355 Bard Ave, Department Of Medicine Villa Bldg 1st FloorStaten Island, NY 10310-1664 · (718) 818-2419
Sole ProprietorNo
Enumeration DateMay 1, 2017
NPI 1912432667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
355 BARD AVE, Staten Island, NY 10310

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ariel Prozumenshikov M.d. 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.

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.

Audiologist-Hearing Aid Fitter
355 BARD AVE
STATEN ISLAND, NY 10310
Internal Medicine (Endocrinology, Diabetes & Metabolism)
355 BARD AVE
STATEN ISLAND, NY 10310
Psychiatric Unit
355 BARD AVE
STATEN ISLAND, NY 10310
Physician Assistant
355 BARD AVE, RICHMOND UNIVERSITY MEDICAL CENTER
STATEN ISLAND, NY 10310
Nurse Practitioner (Family)
355 BARD AVE
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Emergency Medicine
355 BARD AVE, EMERGENCY DEPT
STATEN ISLAND, NY 10310

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 Ariel Prozumenshikov's NPI number?

The NPI number for Ariel Prozumenshikov is 1912432667. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Ariel Prozumenshikov located?

Ariel Prozumenshikov practices at 355 Bard Ave Department Of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310. The listed phone number is (718) 818-2419.

What is Ariel Prozumenshikov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ariel Prozumenshikov enrolled in Medicare?

Yes. Ariel Prozumenshikov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ariel Prozumenshikov was last updated on May 1, 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.