Organization Active NPI

Healthy Planet Medical PLLC

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1184924474
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
232381 Issued in NY
Legal business name
HEALTHY PLANET MEDICAL PLLC
Practice address
2651 E 14TH St
Brooklyn, NY 11235-3915
Phone
(718) 769-4100
Fax
(718) 769-4105
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Elena Frolova, M.D.NPI 1902998586
Title
President
Phone
(516) 295-5229

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 232381 NY Primary

Addresses

Primary practice location

2651 E 14TH St
Brooklyn, NY 11235-3915

Mailing address

186 Lefferts Rd
Woodmere, NY 11598-1346
Phone (516) 295-5229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110513000273 NY Part B Supplier - Clinic/Group Practice 0244416931 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1184924474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 LEFFERTS RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981346",
            "telephone_number": "516-295-5229",
            "fax_number": "516-295-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353915",
            "telephone_number": "718-769-4100",
            "fax_number": "718-769-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY PLANET MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "FROLOVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-295-5229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "232381",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 2, 2010; 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.