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

Mr. Dmitry Khasak, MD

Individual provider Dermatology Physician · NPI 1649258286

Mr. Dmitry Khasak, MD is a Dermatology in New York, New York. Graduated from New York University School of Medicine in 1992, 34 years ago. Practices with Dmitry Khasak MD PC Inc, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
34
Trained at
New York University School of Medicine
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
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

77 Park Ave
New York, NY 10016-2556
Phone: (212) 826-6999
Fax: (201) 626-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 1940541 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 25MA06377000 (NJ)

Record details

NPI number1649258286
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 4, 2006
Last updated in NPPESJune 17, 2014

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Dmitry Khasak Md Pc Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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