Organization Active NPI

Kakossian Medical Woman Care PC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1265673115
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
217115 Issued in NY
Legal business name
KAKOSSIAN MEDICAL WOMAN CARE PC
Practice address
1180 Brighton Beach Ave
1St.Floor
Brooklyn, NY 11235-5801
Phone
(718) 833-8777
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Irene Kakossian, M.D.NPI 1558381954
Title
Physician
Phone
(718) 833-8777

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 217115 NY Primary

Addresses

Primary practice location

1180 Brighton Beach Ave
1St.Floor
Brooklyn, NY 11235-5801

Mailing address

8008 Narrows Ave
Brooklyn, NY 11209-2831
Phone (718) 833-8777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090605000001 NY Part B Supplier - Clinic/Group Practice 3375693757 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0994451Kakossian Medical Woman Care PC1180 Brighton Beach Avenue, First Floor, Brooklyn, NY 11235ComplianceNov 6, 2026

National Provider Directory

National Provider Directory

Locations

1180 Brighton Beach Ave
Ste 1
Brooklyn, NY 11235
Phone (718) 833-8777

Practitioners & affiliated clinicians

Practitioners 4

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": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1265673115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 NARROWS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092831",
            "telephone_number": "718-833-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BRIGHTON BEACH AVE",
            "address_2": "1ST.FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355801",
            "telephone_number": "718-833-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAKOSSIAN MEDICAL WOMAN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "KAKOSSIAN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-833-8777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "217115",
            "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 Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.