Andzhelika Kagzanova, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

226925 Issued in NY

Practice address

1908 Avenue K
Brooklyn, NY 11230-4904

Phone

(718) 859-6786

Fax

(866) 481-4658

NPI assigned

Jul 5, 2006

Last updated

Dec 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Osteopathic Manipulative Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Uni Health Medical PCGroup PAC ID 3577582071, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
• Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Uni Health Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1740463546
  Medicare reassignment Care Compare group NPD Authorized official
• East Shore Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
  • NPI 1477508315

  Internal Medicine

  NPD (past)
• Personal Touch Medical Care, P.C.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1255546925
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gamzel Ny, Inc

  dba Revival Home Health Care

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation
• HCS Certified Home Care Ny Inc

  dba Girling Health Care of New york, Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1265462931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304904",
            "telephone_number": "718-859-6786",
            "fax_number": "866-481-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 AVENUE K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304904",
            "telephone_number": "718-859-6786",
            "fax_number": "866-481-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGZANOVA",
        "first_name": "ANDZHELIKA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "226925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02404915",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irina Kaganskaya, MS IN SP. ED.
• Daniel Kaganskiy, OTR/L
• Jessica Kaganskiy, AU.D.
• Elena Kagansky, M.S.
• Alex Kagzanov, PHARMD
• Stephanie Kagzanova
• Kahan Occupational Therapy Services
• Kahan OT Services
• Barbra Kahan
• Bassy Kahan

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.