Active NPI
Brocha Fayge Kagan, PA
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1093892267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 010454
- Practice address
- 506 6TH St
New York Methodist Hospital
Brooklyn, NY 11215-3609 - Phone
- (718) 780-3159
- Fax
- (718) 780-7380
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 010454 | NY | Primary |
Addresses
Primary practice location
506 6TH St
New York Methodist Hospital
Brooklyn, NY 11215-3609
Mailing address
202 Caton Ave
Brooklyn, NY 11218-1617
Phone (718) 215-8650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00246075 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, MD, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Walnut St
Neptune, NJ 07753-4301
Phone (718) 534-0689
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.46 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 84.86
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.64 of 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Forest Hills Dermatology Group PLLC | Past | Accepting new patients | |
| Ilyagu Medical PC | Past | Accepting new patients |
Locations
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 8
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1093892267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CATON AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181617",
"telephone_number": "718-215-8650",
"fax_number": "718-780-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"address_2": "NEW YORK METHODIST HOSPITAL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609",
"telephone_number": "718-780-3159",
"fax_number": "718-780-7380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "BROCHA",
"middle_name": "FAYGE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00246075",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.