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

Dr. Dmitry Lisenenkov, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1679736953

Dr. Dmitry Lisenenkov, MD is an Internal Medicine in Staten Island, New York. Qualified in 2005, 21 years ago. Practices with Barnabas Health Medical Group PC, a 1,025-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
21
Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

475 Seaview Ave Cardiothoracic ICU
Staten Island, NY 10305
Phone: (718) 775-7770
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Critical Care Medicine (Anesthesiology) Physician (primary) Taxonomy 207LC0200X · Licence 25MA11111600 (NJ)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 249407 (NY)

Record details

NPI number1679736953
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2008
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Barnabas Health Medical Group Pc — 1025 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Staten Island