Coney Island Medical Diagnostic Services P C
NPI 1902436728ActiveOrganization· Pathology, Anatomic Pathology· Brooklyn, NY
Pathology, Anatomic Pathology in Brooklyn, New York, registered in NPPES in January 2020. The authorized official on file is Konstantin Vaizman, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902436728 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2020 |
| Last updated in NPPES | Jan 21, 2020 |
| Certified by provider | Jan 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology Primary | 207ZP0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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