Coney Island Medical Diagnostic Services P C
NPI 1902436728 · Anatomic Pathology Physician · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coney Island Medical Diagnostic Services P C is a Anatomic Pathology Physician organization in Brooklyn, NY (NPI 1902436728).
Provider details
- NPI number
- 1902436728
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Konstantin Vaizman, Owner(347) 446-6839
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
6 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
- 2020-01-21
- Last updated
- 2020-01-21
- Certified
- 2020-01-21
Frequently asked questions
- What is Coney Island Medical Diagnostic Services P C's NPI number?
- Coney Island Medical Diagnostic Services P C's National Provider Identifier (NPI) is 1902436728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coney Island Medical Diagnostic Services P C?
- Coney Island Medical Diagnostic Services P C is classified in the NPPES registry as Anatomic Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Coney Island Medical Diagnostic Services P C located?
- Coney Island Medical Diagnostic Services P C's practice location on file with NPPES is 1704 Mermaid Ave Ste 6, Brooklyn, NY 11224-2622.
- What is Coney Island Medical Diagnostic Services P C's phone number?
- The practice phone number listed in the NPPES registry for Coney Island Medical Diagnostic Services P C is (516) 567-5410.
- Does Coney Island Medical Diagnostic Services P C accept Medicare?
- Coney Island Medical Diagnostic Services P C 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 Coney Island Medical Diagnostic Services P C?
- The authorized official listed on Coney Island Medical Diagnostic Services P C's NPPES record is Konstantin Vaizman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coney Island Medical Diagnostic Services P C's NPI active?
- Yes — Coney Island Medical Diagnostic Services P C's NPI (1902436728) is active in the NPPES registry as of the last update on 2020-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.