Individual provider Active NPI

Alla Maslova

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1225083165
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
216703 Issued in NY
Practice address
3048 Brighton 1St St
Suite 6a
Brooklyn, NY 11235-8080
Phone
(718) 769-4100
NPI assigned
May 22, 2006
Last updated
Dec 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 216703 NY Primary

Addresses

Primary practice location

3048 Brighton 1St St
Suite 6a
Brooklyn, NY 11235-8080

Mailing address

19 Pershing Street
Staten Island, NY 10305
Phone (917) 981-1565

Other identifiers 1

IdentifierTypeStateIssuer
02312696MedicaidNY

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
I20040820000550 NY Practitioner - NephrologyPractitioner - Internal Medicine 8224002878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3048 Brighton 1St St
Suite 6a
Brooklyn, NY 11235-8081
Phone (718) 872-7181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216703NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Am Nephrology Care PC Nephrology CurrentSince Jul 1, 2005 Accepting new patients
Kidney Care Associates, PLLC Nephrology PastSince Jul 1, 2006 Accepting new patients
Atlantic Radiology Imaging PC PastSince Jul 1, 2005 Accepting new patients
Central Brooklyn Medical Group PC Nephrology Past Accepting new patients

Locations

1230 Neptune Ave
Brooklyn, NY 11224
Phone (718) 287-2400

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

2651 E 14th St
Brooklyn, NY 11235
Phone (718) 769-4100

3048 Brighton 1st St
Ste 6A
Brooklyn, NY 11235
Phone (718) 725-7181

19 Pershing St
Staten Island, NY 10305

Networks

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

Interoperability endpoints

  • Direct secure messaging: allamaslova@mai.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1225083165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PERSHING STREET",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "917-981-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 BRIGHTON 1ST ST",
            "address_2": "SUITE 6A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358080",
            "telephone_number": "718-769-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLOVA",
        "first_name": "ALLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "216703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312696",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.