MR. DMITRY VINNIKOV RPA-C
NPI 1962738534
Physician Assistant - Medical in Brooklyn, NY
About Mr. Dmitry Vinnikov Rpa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DMITRY VINNIKOV RPA-C (NPI 1962738534) is an individual medical provider in Brooklyn, New York, licensed in New York (013664) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Dmitry Vinnikov Rpa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BROOKLYN, NY 11215
BROOKLYN, NY 11215
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 Vinnikov's NPI number?
The NPI number for Dmitry Vinnikov is 1962738534. It was assigned to this individual provider in the NPPES registry on November 2, 2009.
Where is Dmitry Vinnikov located?
Dmitry Vinnikov practices at 506 6th St, Brooklyn, NY 11215. The listed phone number is (718) 780-3000.
What is Dmitry Vinnikov's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Dmitry Vinnikov enrolled in Medicare?
Yes. Dmitry Vinnikov is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dmitry Vinnikov was last updated on October 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Dmitry Vinnikov, RPA-C · NPI 1962738534
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since November 2, 2009.
## Identity
- **NPI:** 1962738534 (Entity type: Individual)
- **Enumerated:** November 2, 2009
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 013664 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 6TH ST, Brooklyn, NY 11215-3609
- **Phone:** (718) 780-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 4, 2013
- **Other identifiers:** Other G400009079 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1962738534) · Data from the CMS NPPES public registry.