Individual provider Active NPI

Irene Paraskevakis, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1043444086
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
272074 Issued in NY
Practice address
186 Joralemon St FL 11
Weill Cornell Medical College
Brooklyn, NY 11201-4356
Phone
(646) 962-4600
Fax
(718) 852-7007
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 272074 NY Primary
Internal Medicine Physician 207R00000X 052101 CT

Addresses

Primary practice location

186 Joralemon St FL 11
Weill Cornell Medical College
Brooklyn, NY 11201-4356

Mailing address

186 Joralemon St FL 11
Weill Cornell Medical College
Brooklyn, NY 11201-4356
Phone (646) 962-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140401001931 NY Practitioner - Internal Medicine 1153552328 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052101CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. CurrentSince Aug 1, 2016 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1043444086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 JORALEMON ST FL 11",
            "address_2": "WEILL CORNELL MEDICAL COLLEGE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014356",
            "telephone_number": "646-962-4600",
            "fax_number": "718-852-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 JORALEMON ST FL 11",
            "address_2": "WEILL CORNELL MEDICAL COLLEGE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014356",
            "telephone_number": "646-962-4600",
            "fax_number": "718-852-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARASKEVAKIS",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "272074",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "052101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.