Individual provider Active NPI

Irene Josephine Vergilis-Kalner, M.D.

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1073740460
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
256563 Issued in NY
Practice address
2727 Ocean Pkwy Ste L1
Brooklyn, NY 11235-7848
Phone
(718) 975-7546
Fax
(718) 975-7547
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 256563 NY Primary
MOHS-Micrographic Surgery Physician 207ND0101X 256563 NY

Addresses

Primary practice location

2727 Ocean Pkwy Ste L1
Brooklyn, NY 11235-7848

Mailing address

35 Seacoast Ter Apt 18M
Brooklyn, NY 11235-6008
Phone (917) 531-6041

Other identifiers 1

IdentifierTypeStateIssuer
256563OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110718000580 NY Practitioner - Emergency MedicinePractitioner - Other (Physician)Practitioner - Dermatology 9032242474 Reassigns benefits to 8 organizations
I20240215003689 FL Practitioner - Dermatology 9032242474

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catskill Dermatology, PCGroup PAC ID 2466550397, 4 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Procedural Dermatology, P.C.Group PAC ID 7719338102, 2 clinicians

Practice addresses (Care Compare)

110 Bridgeville Rd
Monticello, NY 12701-3829
Phone (845) 794-3030

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

3773 103Rd St
Corona, NY 11368-3465
Phone (718) 255-7546

Hospital & facility affiliations

  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions295
Removal of skin cancer599
Removal or shaving of skin growth1-10
Skin biopsy18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Aug 5, 2024 Accepting new patients
Advanced Dermatology PC Dermatology CurrentSince Feb 1, 2026 Accepting new patients
Catskill Dermatology, PC Dermatology CurrentSince Jan 2, 2025 Accepting new patients
Procedural Dermatology PC Dermatology CurrentSince Dec 5, 2023 Accepting new patients
McLean Heights Medical Professionals PC CurrentSince Aug 1, 2024 Accepting new patients
Complete Dermatology Care, PC Dermatology CurrentSince Nov 20, 2024 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Apr 17, 2024 Accepting new patients
Health Quest Physical Therapy, P.C. PastSince Dec 15, 2019 Accepting new patients
Howard D. Solomon, DO, PC Dermatology Past Accepting new patients
Soderstrom Dermatology Center S C Past Accepting new patients

Locations

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

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

3773 103rd St
Corona, NY 11368
Phone (718) 255-7546

10460 Queens Blvd
Ste 1C
Forest Hills, NY 11375
Phone (718) 275-5555

3751 82nd St
Jackson Heights, NY 11372
Phone (718) 829-9000

6 Lowell Ave
New Hyde Park, NY 11040
Phone (516) 326-4160

4925 Broadway
New York, NY 10034
Phone (718) 255-7546

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

4 Technology Dr
Ste 180
Setauket, NY 11733
Phone (631) 587-1132

325 Meeting House Ln
Ste J
Southampton, NY 11968
Phone (516) 283-3131

2627B Hylan Blvd
Bldg B
Staten Island, NY 10306

Networks

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

Interoperability endpoints

  • Direct secure messaging: ivergiliskalner3833231@nychhc.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1073740460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SEACOAST TER APT 18M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356008",
            "telephone_number": "917-531-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 OCEAN PKWY STE L1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357848",
            "telephone_number": "718-975-7546",
            "fax_number": "718-975-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGILIS-KALNER",
        "first_name": "IRENE",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "256563",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "256563",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "256563",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.