Dmitry Khasak MD PC Inc
NPI 1679835946 · Dermatology Physician · Jersey City, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dmitry Khasak MD PC Inc is a Dermatology Physician organization in Jersey City, NJ (NPI 1679835946).
Provider details
- NPI number
- 1679835946
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eugene Gerlants, Manager(201) 889-7047
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2012-06-13
Frequently asked questions
- What is Dmitry Khasak MD PC Inc's NPI number?
- Dmitry Khasak MD PC Inc's National Provider Identifier (NPI) is 1679835946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dmitry Khasak MD PC Inc?
- Dmitry Khasak MD PC Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dmitry Khasak MD PC Inc located?
- Dmitry Khasak MD PC Inc's practice location on file with NPPES is 100 Pavonia Ave Ste 409, Jersey City, NJ 07310-2778.
- What is Dmitry Khasak MD PC Inc's phone number?
- The practice phone number listed in the NPPES registry for Dmitry Khasak MD PC Inc is (201) 626-4040.
- Does Dmitry Khasak MD PC Inc accept Medicare?
- Dmitry Khasak MD PC Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dmitry Khasak MD PC Inc?
- The authorized official listed on Dmitry Khasak MD PC Inc's NPPES record is Eugene Gerlants, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dmitry Khasak MD PC Inc's NPI active?
- Yes — Dmitry Khasak MD PC Inc's NPI (1679835946) is active in the NPPES registry as of the last update on 2012-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.