Active NPIOrganization

Dmitry Khasak MD PC INC

Dermatology in Jersey City, New Jersey

NPI Number1679835946
Practice location
100 Pavonia Ave Ste 409, Jersey City, NJ 07310-2778
Fax
866-861-0767
Last updated
June 13, 2012

Dmitry Khasak MD PC INC is a healthcare organization based in Jersey City, NJ. Dmitry Khasak MD PC INC practices in Jersey City, NJ. The NPI Number for Dmitry Khasak MD PC INC is 1679835946. The current practice location address for Dmitry Khasak MD PC INC is 100 Pavonia Ave Ste 409, Jersey City, NJ 07310-2778 and can be reached out via phone at 201-626-4040 and via fax at 866-861-0767.

Provider Profile Details

NPI Number
1679835946
Provider Name
Dmitry Khasak MD PC INC
Provider Entity Type
Organization
Address
100 Pavonia Ave Ste 409, Jersey City, NJ 07310-2778
Phone Number
201-626-4040
Fax Number
866-861-0767
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Mr. Eugene Gerlants · Manager · 201-889-7047
Provider Enumeration Date
June 13, 2012
Last Update Date
June 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Pavonia Ave Ste 409
Jersey City, NJ 07310-2778
Zip
07310-2778
Phone Number
201-626-4040
Fax Number
866-861-0767
Jersey City, NJ 07310Get directions →

Provider Business Mailing Address Details

Address
100 Pavonia Ave Ste 409
Jersey City, NJ 07310-2778
City
Jersey City
State
NJ
Zip
07310-2778
Phone Number
201-626-4040
Fax Number
866-861-0767

License Information

Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dmitry Khasak MD PC INC?

The NPI number of Dmitry Khasak MD PC INC is 1679835946. It was assigned on June 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Dmitry Khasak MD PC INC?

Dmitry Khasak MD PC INC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Dmitry Khasak MD PC INC practice?

The practice location is 100 Pavonia Ave Ste 409, Jersey City, NJ 07310-2778. The office can be reached at 201-626-4040 (phone) or 866-861-0767 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679835946 directly on the NPPES registry website.

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