DMITRY LISENENKOV M.D. – NPI #1679736953
Anesthesiology

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Anesthesiology

DMITRY LISENENKOV is an anesthesiologist located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1679736953 to DMITRY LISENENKOV on July 07, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LC0200X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Critical Care Medicine

The NPI profile was previously updated about 2 years ago on May 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DMITRY LISENENKOV below.

NPI Profile for
DMITRY LISENENKOV

NPI Number
1679736953
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DMITRY LISENENKOV
Credentials
M.D.
Primary location
475 SEAVIEW AVE
CARDIOTHORACIC ICU
STATEN ISLAND, NY 10305
Phone: (718) 775-7770 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LC0200X
- Anesthesiology / Critical Care Medicine (Primary)		 NJ 25MA11111600
207RC0200X
- Internal Medicine / Critical Care Medicine		 NY 249407

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DMITRY LISENENKOV is affiliated with the following medical group(s):
  • HOSPITAL
    • MAIMONIDES MEDICAL CENTER
      4802 TENTH AVENUE
      BROOKLYN, NY 11219
    • ST MARY'S GENERAL HOSPITAL
      350 BOULEVARD
      PASSAIC, NJ 07055

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How do I correct or change the NPI data displayed here?
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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.