Organization Active NPI

Kochin Medical PC

  • Pediatric Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1184021941
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
221100 Issued in NY
Legal business name
KOCHIN MEDICAL PC
Practice address
1321 E 7TH St
Brooklyn, NY 11230-5103
Phone
(718) 338-1313
Fax
(718) 338-7777
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Israel Kochin, MDNPI 1164416418
Title
Owener
Phone
(718) 338-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X 221100 NY Primary

Addresses

Primary practice location

1321 E 7TH St
Brooklyn, NY 11230-5103

Mailing address

1321 E 7TH St
Brooklyn, NY 11230-5103
Phone (718) 338-1313

Other identifiers 1

IdentifierTypeStateIssuer
02573302MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150203001283 NY Part B Supplier - Clinic/Group Practice 7719202381 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1321 E 7th St
Brooklyn, NY 11230
Phone (718) 258-6171

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1184021941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305103",
            "telephone_number": "718-338-1313",
            "fax_number": "718-338-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305103",
            "telephone_number": "718-338-1313",
            "fax_number": "718-338-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCHIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "KOCHIN",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "718-338-1313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "221100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02573302",
            "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 Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.