ALEXANDER DEMIDENKO D.O. NPI 1356542591

NPI Information

  • NPI: 1356542591
  • Provider Name: ALEXANDER DEMIDENKO, D.O.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2004 SEAGIRT BLVD
    BASEMENT FLOOR
    FAR ROCKAWAY, NY
    ZIP 11691
  • Phone: (718) 868-8668

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NPI Details

Alexander Demidenko, D.O. is an ophthalmology in Far Rockaway, NY with 23 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Alexander Demidenko, D.O. NPI is 1356542591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2003

The provider's business location address is:

2004 SEAGIRT BLVD
BASEMENT FLOOR
FAR ROCKAWAY, NY
ZIP 11691-802
Phone: (718) 868-8668
Fax: (718) 868-8611

The NPI 1356542591 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Photography of content of eyes (HCPCS:92285)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • New patient complete exam of visual system (HCPCS:92004)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 5/29/2007 and was last updated on 3/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology249146NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1249146OTHERNEW YORKLICENSE
203195782MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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