Individual provider Active NPI

Avrimin Kogan, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1215939699
Registry record updated May 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
213046 Issued in NY
Practice address
550 1St Ave
Rusk 607
New York, NY 10016-6402
Phone
(212) 263-5072
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 213046 NY Primary

Addresses

Primary practice location

550 1St Ave
Rusk 607
New York, NY 10016-6402

Mailing address

550 1St Ave
Rusk 607
New York, NY 10016-6402
Phone (212) 263-5072

Other identifiers 1

IdentifierTypeStateIssuer
02111737MedicaidNY

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
I20110418000034 NY Practitioner - Anesthesiology 5698959690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rush Medical College of Rush University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

974 Route 45
Suite 2000
Pomona, NY 10970-3517
Phone (845) 357-5775

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213046NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 4, 1999 Accepting new patients
New York University Anesthesiology CurrentSince Feb 4, 1999 Accepting new patients
New York University Anesthesiology Current Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Jun 30, 2023 Accepting new patients
Gastrointestinal Care of Long Island PLLC PastSince Mar 10, 2025 Accepting new patients
New York University Medical Center Past Accepting new patients

Locations

873 Route 45
Ste 104
New City, NY 10956
Phone (845) 362-1081

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

560 1st Ave
New York, NY 10016
Phone (212) 263-5362

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

550 1st Ave
#607
New York, NY 10016

400 E 34th St
New York, NY 10016
Phone (212) 263-6037

160 E 34th St
New York, NY 10016
Phone (212) 731-5180

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

4 Westchester Park Dr
Ste 300
White Plains, NY 10604
Phone (914) 368-2424

Organizations & group practices 6

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211068800000",
    "number": "1215939699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "address_2": "RUSK 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "address_2": "RUSK 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "AVRIMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "213046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02111737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.