Individual provider Active NPI

Martin Mokran, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1255787552
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30264001 Issued in NY
Practice address
484 Rockaway Ave FL 2
Brooklyn, NY 11212-5636
Phone
(646) 784-1270
Fax
(718) 858-8410
NPI assigned
May 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 30264001 NY Primary

Addresses

Primary practice location

484 Rockaway Ave FL 2
Brooklyn, NY 11212-5636

Mailing address

484 Rockaway Ave FL 2
Brooklyn, NY 11212-5636
Phone (646) 784-1270

Other practice location 1

82-68 164th Street
Jamaica, NY 11432
Phone (718) 883-4080

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
I20231101000530 NY Practitioner - Psychiatry 7517203292 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30264001NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Choices Ny Inc Single Specialty CurrentSince Oct 17, 2023 Accepting new patients

Locations

6209 16th Ave
Brooklyn, NY 11204
Phone (718) 234-0073

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1255787552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 ROCKAWAY AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125636",
            "telephone_number": "646-784-1270",
            "fax_number": "718-858-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 ROCKAWAY AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125636",
            "telephone_number": "646-784-1270",
            "fax_number": "718-858-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82-68 164th Street",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "11432",
            "country_code": "US",
            "telephone_number": "718-883-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOKRAN",
        "first_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "30264001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.