Dimitri Fedorov, PA
Dimitri Fedorov, PA is a Physician Assistant in Brooklyn, New York. Practices with Vanguard Dermatology, a 10-clinician group and accepts Medicare assignment. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2148 Ocean Ave Fl 5Brooklyn, NY 11229-1484
Phone: (212) 398-1288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1275495046 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 1, 2025 |
| Last updated in NPPES | December 1, 2025 |
| Certification date | December 1, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2026 (0 years in practice) |
| Group practice | Vanguard Dermatology — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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