Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dmitry Bogomolny, RPA-C

Individual provider Physician Assistant · NPI 1891027405

Dmitry Bogomolny, RPA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

635 W 165th St
New York, NY 10032-3724
Phone: (212) 305-3015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013776-1 (NY)

Record details

NPI number1891027405
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2010
Last updated in NPPESApril 25, 2017

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