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

Dr. Dima Raskolnikov, MD

Individual provider Urology Physician · NPI 1790172500

Dr. Dima Raskolnikov, MD is an Urology in Bronx, New York. Qualified in 2015, 11 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1250 Waters Pl Ph
Bronx, NY 10461-2720
Phone: (718) 920-4531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 316573 (NY)

Record details

NPI number1790172500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2015
Last updated in NPPESAugust 7, 2022
Certification dateAugust 7, 2022
Mailing address1250 Waters Pl Ph, Bronx, NY 10461-2720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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