MIHAIL MEDVEDOVSKY PHYSICIAN PC
NPI 1942304001
Family Medicine in Brooklyn, NY
About Mihail Medvedovsky Physician Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIHAIL MEDVEDOVSKY PHYSICIAN PC (NPI 1942304001) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Mihail Medvedovsky, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
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 33D1003661
Mihail Medvedovsky Physician PC · Brooklyn, NYOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mihail Medvedovsky Physician PC's NPI number?
The NPI number for Mihail Medvedovsky Physician PC is 1942304001. It was assigned to this organization in the NPPES registry on September 11, 2006.
Where is Mihail Medvedovsky Physician PC located?
Mihail Medvedovsky Physician PC is located at 3039 Ocean Pkwy, Brooklyn, NY 11235. The listed phone number is (718) 946-9070.
What is Mihail Medvedovsky Physician PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Mihail Medvedovsky Physician PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1003661) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mihail Medvedovsky Physician PC was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mihail Medvedovsky Physician Pc · NPI 1942304001
Family Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since September 11, 2006.
## Identity
- **NPI:** 1942304001 (Entity type: Organization)
- **Enumerated:** September 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mihail Medvedovsky, PRESIDENT
## Practice location
- **Address:** 3039 OCEAN PKWY, Brooklyn, NY 11235-8370
- **Phone:** (718) 946-9070
## Record status
- **NPPES last updated:** June 25, 2008
- **Other identifiers:** Medicare ID-Type Unspecified W35611 (NY); Medicaid 02156169 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942304001) · Data from the CMS NPPES public registry.